Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.51 / $8.27 / $10.01	Facility	26	$6.51	$8.27	$10.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.24 / $205.10 / $397.14	Facility	TC	$24.24	$205.10	$397.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $30.76 / $58.07	Professional		$21.96	$30.76	$58.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $6.52 / $20.82	Professional	26	$5.53	$6.52	$20.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.09 / $24.24 / $43.87	Professional	TC	$19.09	$24.24	$43.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $42.56 / $61.67	Professional		$29.32	$42.56	$61.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $9.01 / $12.87	Professional	26	$6.72	$9.01	$12.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.64 / $33.67 / $48.80	Professional	TC	$23.64	$33.67	$48.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $34.52 / $63.28	Professional		$23.96	$34.52	$63.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.72 / $8.39 / $14.40	Professional	26	$5.72	$8.39	$14.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $25.72 / $47.70	Professional	TC	$18.23	$25.72	$47.70
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $54.21 / $57.96	Professional		$54.21	$54.21	$57.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $47.47 / $64.45	Professional		$38.09	$47.47	$64.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $10.06 / $13.66	Professional	26	$8.07	$10.06	$13.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.02 / $37.40 / $50.80	Professional	TC	$30.02	$37.40	$50.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $45.82 / $70.20	Professional		$26.69	$45.82	$70.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $10.98 / $16.54	Professional	26	$6.47	$10.98	$16.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $34.79 / $53.66	Professional	TC	$20.20	$34.79	$53.66