Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.02 / $15.70 / $16.54	Facility	26	$11.02	$15.70	$16.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $48.54 / $72.81	Professional		$34.36	$48.54	$72.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $11.03 / $37.25	Professional	26	$9.69	$11.03	$37.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $36.57 / $51.90	Professional	TC	$24.87	$36.57	$51.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $60.26 / $86.08	Professional		$43.04	$60.26	$86.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $15.18 / $21.79	Professional	26	$11.42	$15.18	$21.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.85 / $44.60 / $63.75	Professional	TC	$31.85	$44.60	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $55.38 / $95.24	Professional		$36.92	$55.38	$95.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $14.34 / $24.42	Professional	26	$9.73	$14.34	$24.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.46 / $38.86 / $64.45	Professional	TC	$26.46	$38.86	$64.45
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $76.02 / $81.22	Professional		$76.02	$76.02	$81.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $66.56 / $90.40	Professional		$53.42	$66.56	$90.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.66 / $17.03 / $23.12	Professional	26	$13.66	$17.03	$23.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $39.75 / $49.54 / $67.28	Professional	TC	$39.75	$49.54	$67.28
United Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $65.70 / $100.15	Professional		$44.93	$65.70	$100.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $18.48 / $30.19	Professional	26	$11.11	$18.48	$30.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.37 / $45.82 / $71.93	Professional	TC	$31.37	$45.82	$71.93