Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.06 / $12.06 / $12.06	Facility	26	$12.06	$12.06	$12.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $45.09 / $75.30	Professional		$36.72	$45.09	$75.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $10.97 / $18.95	Professional	26	$8.86	$10.97	$18.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $35.09 / $57.10	Professional	TC	$26.74	$35.09	$57.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $65.48 / $93.53	Professional		$46.76	$65.48	$93.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $16.48 / $23.72	Professional	26	$11.88	$16.48	$23.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.90 / $48.87 / $69.81	Professional	TC	$34.90	$48.87	$69.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $56.23 / $88.59	Professional		$37.83	$56.23	$88.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $14.34 / $24.49	Professional	26	$9.93	$14.34	$24.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.90 / $40.29 / $63.50	Professional	TC	$27.90	$40.29	$63.50
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $83.49 / $89.21	Professional		$83.49	$83.49	$89.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $73.11 / $99.29	Professional		$58.67	$73.11	$99.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $18.60 / $25.26	Professional	26	$14.92	$18.60	$25.26
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $43.75 / $54.51 / $74.03	Professional	TC	$43.75	$54.51	$74.03
United Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $71.48 / $141.08	Professional		$43.72	$71.48	$141.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $19.25 / $30.10	Professional	26	$11.10	$19.25	$30.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $49.66 / $81.13	Professional	TC	$31.04	$49.66	$81.13