Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.87 / $8.75 / $10.57	Facility	26	$6.87	$8.75	$10.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.27 / $229.17 / $424.20	Facility	TC	$33.27	$229.17	$424.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $41.38 / $86.02	Professional		$9.51	$41.38	$86.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $8.94 / $30.49	Professional	26	$5.83	$8.94	$30.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.00 / $147.00 / $204.92	Professional	50	$84.00	$147.00	$204.92
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.06 / $18.91 / $22.65	Professional	52	$12.06	$18.91	$22.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $30.94 / $54.79	Professional	TC	$22.57	$30.94	$54.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $54.84 / $80.65	Professional		$35.65	$54.84	$80.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.85 / $9.42 / $13.55	Professional	26	$6.85	$9.42	$13.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.26 / $52.98 / $67.80	Professional	50	$34.26	$52.98	$67.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.28 / $45.48 / $66.42	Professional	TC	$30.28	$45.48	$66.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $40.18 / $72.62	Professional		$25.57	$40.18	$72.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $8.84 / $15.02	Professional	26	$6.04	$8.84	$15.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.53 / $30.38 / $56.71	Professional	TC	$19.53	$30.38	$56.71
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $71.84 / $77.20	Professional		$71.84	$71.84	$77.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $62.90 / $85.43	Professional		$50.48	$62.90	$85.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $10.61 / $14.41	Professional	26	$8.52	$10.61	$14.41
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $41.96 / $52.29 / $71.02	Professional	TC	$41.96	$52.29	$71.02
United Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $56.09 / $78.41	Professional		$28.13	$56.09	$78.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $11.41 / $17.45	Professional	26	$6.81	$11.41	$17.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $46.63 / $62.35	Professional	TC	$21.28	$46.63	$62.35