Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.50 / $14.50 / $20.00	Facility	26	$14.50	$14.50	$20.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $42.84 / $137.86 / $510.54	Facility	TC	$42.84	$137.86	$510.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $56.19 / $91.23	Professional		$44.27	$56.19	$91.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $14.63 / $42.40	Professional	26	$13.08	$14.63	$42.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $36.45 / $69.26	Professional	TC	$30.85	$36.45	$69.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $78.67 / $113.19	Professional		$55.36	$78.67	$113.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.86 / $20.39 / $29.14	Professional	26	$14.86	$20.39	$29.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.06 / $75.40 / $95.50	Professional	50	$66.06	$75.40	$95.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.00 / $58.46 / $84.72	Professional	TC	$39.00	$58.46	$84.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $63.34 / $109.54	Professional		$43.85	$63.34	$109.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $18.93 / $32.63	Professional	26	$12.79	$18.93	$32.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.15 / $43.56 / $76.06	Professional	TC	$30.15	$43.56	$76.06
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $108.10	Professional		$101.03	$101.03	$108.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $88.47 / $120.14	Professional		$70.98	$88.47	$120.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.95 / $22.37 / $30.38	Professional	26	$17.95	$22.37	$30.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $53.04 / $66.09 / $89.76	Professional	TC	$53.04	$66.09	$89.76
United Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $83.00 / $137.72	Professional		$49.41	$83.00	$137.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.40 / $24.26 / $37.90	Professional	26	$15.40	$24.26	$37.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.90 / $59.95 / $85.61	Professional	TC	$33.90	$59.95	$85.61