Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.41 / $12.42 / $19.10	Facility	26	$12.41	$12.42	$19.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $44.53 / $74.89	Professional		$34.81	$44.53	$74.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $12.33 / $29.94	Professional	26	$9.75	$12.33	$29.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $32.10 / $53.62	Professional	TC	$24.65	$32.10	$53.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $61.73 / $89.46	Professional		$42.53	$61.73	$89.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $16.95 / $24.40	Professional	26	$12.20	$16.95	$24.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.47 / $44.43 / $64.39	Professional	TC	$30.47	$44.43	$64.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $51.30 / $88.14	Professional		$34.17	$51.30	$88.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $14.45 / $24.90	Professional	26	$9.81	$14.45	$24.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $34.96 / $60.46	Professional	TC	$24.36	$34.96	$60.46
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $78.45 / $83.69	Professional		$78.45	$78.45	$83.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $68.70 / $93.30	Professional		$55.13	$68.70	$93.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $19.14 / $26.00	Professional	26	$15.37	$19.14	$26.00
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 $38.65 / $65.29 / $107.53	Professional		$38.65	$65.29	$107.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $20.14 / $30.95	Professional	26	$10.82	$20.14	$30.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.02 / $45.04 / $67.08	Professional	TC	$28.02	$45.04	$67.08