Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.76 / $14.76 / $23.14	Facility	26	$14.76	$14.76	$23.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $67.65 / $105.76	Professional		$54.08	$67.65	$105.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $16.71 / $24.66	Professional	26	$13.79	$16.71	$24.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $51.07 / $82.60	Professional	TC	$39.72	$51.07	$82.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $91.39 / $131.49	Professional		$65.73	$91.39	$131.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.54 / $20.69 / $30.55	Professional	26	$15.54	$20.69	$30.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.88 / $71.13 / $102.34	Professional	TC	$49.88	$71.13	$102.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $81.04 / $130.41	Professional		$55.63	$81.04	$130.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $20.76 / $37.82	Professional	26	$13.20	$20.76	$37.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $55.75 / $91.41	Professional	TC	$39.81	$55.75	$91.41
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $124.15	Professional		$116.00	$116.00	$124.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $101.57 / $137.94	Professional		$81.51	$101.57	$137.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.28 / $22.78 / $30.93	Professional	26	$18.28	$22.78	$30.93
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $63.22 / $78.78 / $106.99	Professional	TC	$63.22	$78.78	$106.99
United Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $96.43 / $141.94	Professional		$63.64	$96.43	$141.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $25.61 / $46.08	Professional	26	$17.44	$25.61	$46.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.35 / $71.50 / $106.64	Professional	TC	$45.35	$71.50	$106.64