Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.15 / $12.76 / $24.73	Facility	26	$12.15	$12.76	$24.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $41.76 / $72.31	Professional		$35.09	$41.76	$72.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $13.10 / $33.65	Professional	26	$11.24	$13.10	$33.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $27.51 / $53.05	Professional	TC	$23.26	$27.51	$53.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $62.65 / $90.14	Professional		$41.49	$62.65	$90.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $17.55 / $25.07	Professional	26	$12.79	$17.55	$25.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.64 / $44.43 / $64.39	Professional	TC	$29.64	$44.43	$64.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $50.30 / $88.61	Professional		$34.82	$50.30	$88.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $16.62 / $28.81	Professional	26	$11.25	$16.62	$28.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $32.86 / $58.09	Professional	TC	$22.75	$32.86	$58.09
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $80.31 / $85.67	Professional		$80.31	$80.31	$85.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $70.31 / $95.50	Professional		$56.43	$70.31	$95.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $19.68 / $26.73	Professional	26	$15.80	$19.68	$26.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $40.64 / $50.64 / $68.77	Professional	TC	$40.64	$50.64	$68.77
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $66.04 / $110.35	Professional		$39.31	$66.04	$110.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $21.94 / $32.67	Professional	26	$13.71	$21.94	$32.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $45.61 / $65.00	Professional	TC	$25.60	$45.61	$65.00