Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.25 / $8.25 / $12.69	Facility	26	$8.25	$8.25	$12.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.17 / $23.17 / $81.22	Facility	TC	$23.17	$23.17	$81.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $29.53 / $49.89	Professional		$24.00	$29.53	$49.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $8.25 / $13.35	Professional	26	$6.82	$8.25	$13.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $19.45 / $37.40	Professional	TC	$17.18	$19.45	$37.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $42.87 / $61.67	Professional		$30.47	$42.87	$61.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $11.30 / $16.26	Professional	26	$8.39	$11.30	$16.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $31.56 / $45.41	Professional	TC	$22.46	$31.56	$45.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $36.01 / $62.44	Professional		$24.93	$36.01	$62.44
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 $17.27 / $24.77 / $43.23	Professional	TC	$17.27	$24.77	$43.23
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $55.39 / $59.07	Professional		$55.39	$55.39	$59.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $48.50 / $65.87	Professional		$38.92	$48.50	$65.87
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 $28.69 / $35.75 / $48.55	Professional	TC	$28.69	$35.75	$48.55
United Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $48.53 / $77.34	Professional		$28.13	$48.53	$77.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $13.92 / $21.65	Professional	26	$8.61	$13.92	$21.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.47 / $32.40 / $49.13	Professional	TC	$19.47	$32.40	$49.13