Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.79 / $17.63 / $22.46	Facility	26	$16.79	$17.63	$22.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $72.25 / $135.71	Professional		$61.64	$72.25	$135.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.53 / $17.59 / $39.09	Professional	26	$14.53	$17.59	$39.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.51 / $54.32 / $109.00	Professional	TC	$45.51	$54.32	$109.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $116.36 / $167.41	Professional		$81.30	$116.36	$167.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $24.67 / $35.24	Professional	26	$17.97	$24.67	$35.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.81 / $91.86 / $132.16	Professional	TC	$64.81	$91.86	$132.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $88.86 / $158.76	Professional		$60.93	$88.86	$158.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $22.65 / $38.53	Professional	26	$15.55	$22.65	$38.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.97 / $66.56 / $120.22	Professional	TC	$44.97	$66.56	$120.22
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $149.88 / $160.84	Professional		$149.88	$149.88	$160.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $131.25 / $178.24	Professional		$105.33	$131.25	$178.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.83 / $27.20 / $36.94	Professional	26	$21.83	$27.20	$36.94
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $83.50 / $104.05 / $141.31	Professional	TC	$83.50	$104.05	$141.31
United Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $119.64 / $172.26	Professional		$68.53	$119.64	$172.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.03 / $30.03 / $44.73	Professional	26	$18.03	$30.03	$44.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.50 / $94.31 / $139.06	Professional	TC	$50.50	$94.31	$139.06