Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.25 / $10.51 / $12.69	Facility	26	$8.25	$10.51	$12.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $34.64 / $68.45	Professional		$23.79	$34.64	$68.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $9.15 / $27.94	Professional	26	$7.03	$9.15	$27.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.48 / $42.63	Professional	TC	$18.82	$23.48	$42.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $47.23 / $68.45	Professional		$33.92	$47.23	$68.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $11.30 / $16.26	Professional	26	$8.48	$11.30	$16.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.07 / $46.84 / $57.76	Professional	50	$38.07	$46.84	$57.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $35.54 / $51.51	Professional	TC	$23.71	$35.54	$51.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $37.60 / $65.41	Professional		$24.17	$37.60	$65.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $10.65 / $18.22	Professional	26	$7.29	$10.65	$18.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.63 / $25.85 / $45.32	Professional	TC	$16.63	$25.85	$45.32
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $61.05 / $65.25	Professional		$61.05	$61.05	$65.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $53.46 / $72.59	Professional		$42.90	$53.46	$72.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.75 / $17.30	Professional	26	$10.23	$12.75	$17.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.67 / $40.71 / $55.29	Professional	TC	$32.67	$40.71	$55.29
United Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $50.82 / $102.60	Professional		$27.66	$50.82	$102.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $13.92 / $21.70	Professional	26	$8.23	$13.92	$21.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $36.50 / $52.67	Professional	TC	$20.07	$36.50	$52.67