Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.36 / $11.37 / $17.50	Facility	26	$11.36	$11.37	$17.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.82 / $192.51 / $492.00	Facility	TC	$27.82	$192.51	$492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $35.90 / $62.22	Professional		$30.19	$35.90	$62.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.90 / $28.20	Professional	26	$10.02	$11.90	$28.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $24.00 / $44.93	Professional	TC	$19.89	$24.00	$44.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.17 / $77.94	Professional		$38.90	$54.17	$77.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $15.65 / $22.36	Professional	26	$11.40	$15.65	$22.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.70 / $38.35 / $55.57	Professional	TC	$26.70	$38.35	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $42.67 / $72.64	Professional		$30.10	$42.67	$72.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $14.56 / $24.33	Professional	26	$9.72	$14.56	$24.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.53 / $28.21 / $49.34	Professional	TC	$19.53	$28.21	$49.34
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $69.06 / $73.56	Professional		$69.06	$69.06	$73.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $60.47 / $82.13	Professional		$48.53	$60.47	$82.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $17.54 / $21.66	Professional	26	$14.08	$17.54	$21.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.44 / $42.91 / $52.98	Professional	TC	$34.44	$42.91	$52.98
United Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $58.32 / $86.86	Professional		$33.90	$58.32	$86.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $19.17 / $28.80	Professional	26	$11.90	$19.17	$28.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $39.26 / $55.49	Professional	TC	$22.00	$39.26	$55.49