Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.74 / $13.74 / $17.14	Facility	26	$13.74	$13.74	$17.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $59.61 / $102.70	Professional		$46.93	$59.61	$102.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $13.50 / $20.70	Professional	26	$11.41	$13.50	$20.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $40.33 / $82.01	Professional	TC	$34.14	$40.33	$82.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $86.77 / $125.39	Professional		$59.07	$86.77	$125.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.99 / $18.50 / $26.43	Professional	26	$13.99	$18.50	$26.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.69 / $86.05 / $106.11	Professional	50	$69.69	$86.05	$106.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.41 / $68.78 / $98.95	Professional	TC	$47.41	$68.78	$98.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $67.05 / $116.87	Professional		$46.42	$67.05	$116.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.87 / $17.79 / $30.60	Professional	26	$11.87	$17.79	$30.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.36 / $48.95 / $86.21	Professional	TC	$33.36	$48.95	$86.21
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $113.55 / $121.67	Professional		$113.55	$113.55	$121.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $99.44 / $135.04	Professional		$79.79	$99.44	$135.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.02 / $21.21 / $28.80	Professional	26	$17.02	$21.21	$28.80
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $62.78 / $78.23 / $106.24	Professional	TC	$62.78	$78.23	$106.24
United Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $90.65 / $133.47	Professional		$52.30	$90.65	$133.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $22.61 / $35.18	Professional	26	$14.68	$22.61	$35.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.51 / $68.14 / $137.59	Professional	TC	$37.51	$68.14	$137.59