Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.59 / $8.60 / $12.01	Facility	26	$8.59	$8.60	$12.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $31.96 / $56.77	Professional		$26.78	$31.96	$56.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $8.55 / $13.41	Professional	26	$6.84	$8.55	$13.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $23.09 / $43.78	Professional	TC	$18.25	$23.09	$43.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $48.52 / $69.81	Professional		$34.54	$48.52	$69.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $11.38 / $16.34	Professional	26	$8.67	$11.38	$16.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.40 / $36.59 / $52.86	Professional	TC	$25.40	$36.59	$52.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $39.84 / $68.30	Professional		$24.93	$39.84	$68.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $11.06 / $19.05	Professional	26	$7.38	$11.06	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.27 / $26.72 / $47.88	Professional	TC	$17.27	$26.72	$47.88
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $67.23	Professional		$62.92	$62.92	$67.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.21 / $55.10 / $74.81	Professional		$44.21	$55.10	$74.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $13.27 / $18.02	Professional	26	$10.65	$13.27	$18.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.54 / $41.81 / $56.78	Professional	TC	$33.54	$41.81	$56.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $51.35 / $76.66	Professional		$28.76	$51.35	$76.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.40 / $21.79	Professional	26	$8.51	$14.40	$21.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.35 / $37.07 / $55.90	Professional	TC	$20.35	$37.07	$55.90