Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $7.90 / $12.15	Facility	26	$7.90	$7.90	$12.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $30.00 / $56.24	Professional		$22.07	$30.00	$56.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $7.90 / $26.06	Professional	26	$6.97	$7.90	$26.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.62 / $156.62 / $156.62	Professional	50	$156.62	$156.62	$156.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.52 / $14.55 / $20.02	Professional	52	$10.52	$14.55	$20.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $22.10 / $38.65	Professional	TC	$17.18	$22.10	$38.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $41.92 / $60.32	Professional		$30.16	$41.92	$60.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.90 / $15.59	Professional	26	$8.31	$10.90	$15.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.64 / $42.46 / $51.36	Professional	50	$36.64	$42.46	$51.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $31.09 / $44.73	Professional	TC	$22.16	$31.09	$44.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $35.06 / $60.86	Professional		$23.00	$35.06	$60.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $10.17 / $17.46	Professional	26	$6.97	$10.17	$17.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.99 / $24.12 / $40.90	Professional	TC	$15.99	$24.12	$40.90
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $52.85 / $56.31	Professional		$52.85	$52.85	$56.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $46.28 / $62.85	Professional		$37.14	$46.28	$62.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $12.20 / $16.57	Professional	26	$9.78	$12.20	$16.57
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.35 / $34.08 / $46.29	Professional	TC	$27.35	$34.08	$46.29
United Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $44.80 / $67.31	Professional		$26.53	$44.80	$67.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.79 / $26.81	Professional	26	$7.94	$13.79	$26.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.95 / $31.81 / $47.30	Professional	TC	$18.95	$31.81	$47.30