Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $10.97 / $12.94	Facility	26	$8.61	$10.97	$12.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $37.53 / $67.84	Professional		$30.51	$37.53	$67.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.90 / $27.35	Professional	26	$7.41	$8.90	$27.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.74 / $54.79	Professional	TC	$22.26	$27.74	$54.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $57.61 / $84.72	Professional		$37.54	$57.61	$84.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $11.77 / $16.94	Professional	26	$8.67	$11.77	$16.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.49 / $55.29 / $70.73	Professional	50	$39.49	$55.29	$70.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.59 / $46.30 / $67.09	Professional	TC	$30.59	$46.30	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $44.09 / $78.09	Professional		$27.07	$44.09	$78.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $11.25 / $19.19	Professional	26	$7.67	$11.25	$19.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.88 / $31.94 / $59.51	Professional	TC	$18.88	$31.94	$59.51
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $74.91 / $80.38	Professional		$74.91	$74.91	$80.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $65.59 / $89.08	Professional		$52.64	$65.59	$89.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $13.30 / $18.05	Professional	26	$10.67	$13.30	$18.05
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 $29.57 / $59.80 / $91.72	Professional		$29.57	$59.80	$91.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $14.77 / $29.14	Professional	26	$8.94	$14.77	$29.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $48.51 / $95.00	Professional	TC	$21.75	$48.51	$95.00