Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.33 / $10.33 / $15.90	Facility	26	$10.33	$10.33	$15.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $36.72 / $58.21	Professional		$29.39	$36.72	$58.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.75 / $20.64	Professional	26	$8.84	$10.75	$20.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.18 / $26.05 / $42.63	Professional	TC	$20.18	$26.05	$42.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $50.87 / $73.20	Professional		$36.78	$50.87	$73.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $14.23 / $20.43	Professional	26	$10.84	$14.23	$20.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $36.27 / $52.19	Professional	TC	$26.09	$36.27	$52.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $44.10 / $74.93	Professional		$30.31	$44.10	$74.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $14.14 / $24.75	Professional	26	$9.24	$14.14	$24.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $28.90 / $48.72	Professional	TC	$20.17	$28.90	$48.72
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $64.69 / $68.93	Professional		$64.69	$64.69	$68.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $56.65 / $76.93	Professional		$45.46	$56.65	$76.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $15.94 / $21.65	Professional	26	$12.79	$15.94	$21.65
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.67 / $40.71 / $55.29	Professional	TC	$32.67	$40.71	$55.29
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $55.44 / $84.02	Professional		$34.97	$55.44	$84.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $17.98 / $28.96	Professional	26	$10.99	$17.98	$28.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $37.79 / $55.25	Professional	TC	$23.80	$37.79	$55.25