Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.39 / $14.39 / $26.10	Facility	26	$11.39	$14.39	$26.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.90 / $278.27 / $675.00	Facility	TC	$38.90	$278.27	$675.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $52.94 / $141.63	Professional		$37.90	$52.94	$141.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $14.86 / $37.25	Professional	26	$10.02	$14.86	$37.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.00 / $382.50 / $414.00	Professional	50	$156.00	$382.50	$414.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.18 / $23.37 / $27.71	Professional	52	$15.18	$23.37	$27.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $38.90 / $62.89	Professional	TC	$27.87	$38.90	$62.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $67.29 / $98.95	Professional		$46.01	$67.29	$98.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $15.54 / $22.36	Professional	26	$11.42	$15.54	$22.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $51.33 / $67.30 / $83.71	Professional	50	$51.33	$67.30	$83.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.01 / $51.62 / $75.91	Professional	TC	$34.01	$51.62	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $52.27 / $92.86	Professional		$34.49	$52.27	$92.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $14.67 / $26.00	Professional	26	$10.05	$14.67	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $36.68 / $66.06	Professional	TC	$24.36	$36.68	$66.06
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $88.62 / $94.98	Professional		$88.62	$88.62	$94.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $77.59 / $105.38	Professional		$62.27	$77.59	$105.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $17.57 / $23.87	Professional	26	$14.11	$17.57	$23.87
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $48.17 / $60.02 / $81.51	Professional	TC	$48.17	$60.02	$81.51
United Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $71.02 / $104.55	Professional		$38.95	$71.02	$104.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $18.55 / $28.96	Professional	26	$11.18	$18.55	$28.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.02 / $50.69 / $77.34	Professional	TC	$28.02	$50.69	$77.34