Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.48 / $13.10 / $16.68	Facility	26	$12.48	$13.10	$16.68
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.11 / $103.33 / $577.60	Facility	TC	$32.11	$103.33	$577.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $40.51 / $71.67	Professional		$32.35	$40.51	$71.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $13.10 / $19.78	Professional	26	$10.78	$13.10	$19.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $27.94 / $51.90	Professional	TC	$22.46	$27.94	$51.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $63.12 / $90.82	Professional		$45.01	$63.12	$90.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $18.03 / $25.75	Professional	26	$13.43	$18.03	$25.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.94 / $44.43 / $64.39	Professional	TC	$30.94	$44.43	$64.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $49.46 / $83.82	Professional		$35.15	$49.46	$83.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $17.05 / $28.75	Professional	26	$11.56	$17.05	$28.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $32.86 / $57.29	Professional	TC	$22.75	$32.86	$57.29
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $79.66 / $84.90	Professional		$79.66	$79.66	$84.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $69.76 / $94.73	Professional		$55.98	$69.76	$94.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $20.22 / $24.96	Professional	26	$16.22	$20.22	$24.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $39.75 / $49.54 / $61.16	Professional	TC	$39.75	$49.54	$61.16
United Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $67.55 / $105.55	Professional		$39.67	$67.55	$105.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $22.21 / $34.28	Professional	26	$13.97	$22.21	$34.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $45.45 / $64.63	Professional	TC	$25.60	$45.45	$64.63