Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.55 / $7.56 / $11.62	Facility	26	$7.55	$7.56	$11.62
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.30 / $212.03 / $267.00	Facility	TC	$15.30	$212.03	$267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $23.12 / $42.40	Professional		$9.80	$23.12	$42.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $7.50 / $18.95	Professional	26	$6.42	$7.50	$18.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.94 / $15.30 / $25.55	Professional	TC	$11.94	$15.30	$25.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $31.56 / $45.41	Professional		$23.16	$31.56	$45.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.43 / $14.98	Professional	26	$7.95	$10.43	$14.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $28.35 / $35.25 / $43.85	Professional	50	$28.35	$35.25	$43.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.25 / $21.35 / $30.65	Professional	TC	$15.25	$21.35	$30.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $29.50 / $52.49	Professional		$19.89	$29.50	$52.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $9.73 / $17.05	Professional	26	$6.67	$9.73	$17.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.71 / $19.20 / $33.13	Professional	TC	$12.71	$19.20	$33.13
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $42.64	Professional		$40.29	$40.29	$42.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $35.28 / $47.92	Professional		$28.31	$35.28	$47.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $11.66 / $15.84	Professional	26	$9.36	$11.66	$15.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.94 / $23.60 / $32.04	Professional	TC	$18.94	$23.60	$32.04
United Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $35.06 / $55.36	Professional		$23.08	$35.06	$55.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $12.76 / $21.56	Professional	26	$7.49	$12.76	$21.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $22.21 / $34.28	Professional	TC	$15.49	$22.21	$34.28