Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.11 / $15.11 / $25.21	Facility	26	$15.11	$15.11	$25.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $75.19 / $110.30	Professional		$54.08	$75.19	$110.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $17.26 / $25.91	Professional	26	$13.08	$17.26	$25.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.17 / $51.21 / $80.86	Professional	TC	$39.17	$51.21	$80.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $90.92 / $130.81	Professional		$65.40	$90.92	$130.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.54 / $20.91 / $31.16	Professional	26	$15.54	$20.91	$31.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.04 / $70.70 / $100.99	Professional	TC	$50.04	$70.70	$100.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $83.06 / $138.88	Professional		$55.63	$83.06	$138.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $20.85 / $36.02	Professional	26	$13.52	$20.85	$36.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.56 / $56.67 / $95.43	Professional	TC	$41.56	$56.67	$95.43
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $114.74 / $122.78	Professional		$114.74	$114.74	$122.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $100.47 / $136.44	Professional		$80.63	$100.47	$136.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.72 / $23.33 / $31.68	Professional	26	$18.72	$23.33	$31.68
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $61.89 / $77.13 / $104.74	Professional	TC	$61.89	$77.13	$104.74
United Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $98.84 / $144.57	Professional		$62.81	$98.84	$144.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $24.83 / $40.57	Professional	26	$16.82	$24.83	$40.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.83 / $72.54 / $108.23	Professional	TC	$45.83	$72.54	$108.23