Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.47 / $15.47 / $23.37	Facility	26	$15.47	$15.47	$23.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $71.06 / $127.18	Professional		$56.75	$71.06	$127.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.63 / $16.00 / $45.60	Professional	26	$13.63	$16.00	$45.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $50.05 / $95.92	Professional	TC	$42.39	$50.05	$95.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $103.17 / $148.43	Professional		$71.22	$103.17	$148.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.92 / $21.35 / $30.50	Professional	26	$15.92	$21.35	$30.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.10 / $81.97 / $117.93	Professional	TC	$57.10	$81.97	$117.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $79.09 / $139.74	Professional		$56.09	$79.09	$139.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $20.10 / $34.92	Professional	26	$13.64	$20.10	$34.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.42 / $59.84 / $106.16	Professional	TC	$41.42	$59.84	$106.16
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $131.72 / $141.27	Professional		$131.72	$131.72	$141.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $115.34 / $156.63	Professional		$92.56	$115.34	$156.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $23.86 / $32.40	Professional	26	$19.14	$23.86	$32.40
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $73.41 / $91.48 / $124.23	Professional	TC	$73.41	$91.48	$124.23
United Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $109.71 / $175.04	Professional		$63.12	$109.71	$175.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $26.81 / $40.11	Professional	26	$16.55	$26.81	$40.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.53 / $83.04 / $118.49	Professional	TC	$46.53	$83.04	$118.49