Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.01 / $11.01 / $14.02	Facility	26	$11.01	$11.01	$14.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $38.51 / $66.17	Professional		$31.42	$38.51	$66.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $11.02 / $29.58	Professional	26	$8.22	$11.02	$29.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.10 / $28.41 / $49.57	Professional	TC	$23.10	$28.41	$49.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $57.47 / $82.69	Professional		$40.14	$57.47	$82.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $15.07 / $21.68	Professional	26	$10.84	$15.07	$21.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.31 / $42.39 / $61.00	Professional	TC	$29.31	$42.39	$61.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $45.60 / $77.04	Professional		$29.45	$45.60	$77.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $12.46 / $22.67	Professional	26	$8.63	$12.46	$22.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $30.70 / $54.93	Professional	TC	$20.82	$30.70	$54.93
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $73.45 / $78.38	Professional		$73.45	$73.45	$78.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $64.33 / $87.36	Professional		$51.62	$64.33	$87.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $16.98 / $23.08	Professional	26	$13.64	$16.98	$23.08
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.99 / $47.34 / $64.28	Professional	TC	$37.99	$47.34	$64.28
United Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $59.80 / $96.55	Professional		$34.61	$59.80	$96.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $17.87 / $29.78	Professional	26	$9.67	$17.87	$29.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $42.74 / $59.38	Professional	TC	$24.88	$42.74	$59.38