Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.81 / $15.81 / $23.90	Facility	26	$15.81	$15.81	$23.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $50.59 / $83.80	Professional		$41.21	$50.59	$83.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.81 / $31.02	Professional	26	$13.58	$15.81	$31.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.20 / $34.99 / $60.00	Professional	TC	$28.20	$34.99	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $73.02 / $105.05	Professional		$52.52	$73.02	$105.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $21.82 / $31.18	Professional	26	$16.27	$21.82	$31.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.58 / $51.34 / $73.88	Professional	TC	$36.58	$51.34	$73.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $60.71 / $103.32	Professional		$41.07	$60.71	$103.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.63 / $20.42 / $34.25	Professional	26	$13.63	$20.42	$34.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.93 / $38.21 / $66.06	Professional	TC	$26.93	$38.21	$66.06
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $93.26 / $99.23	Professional		$93.26	$93.26	$99.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $81.66 / $110.90	Professional		$65.53	$81.66	$110.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $24.40 / $33.13	Professional	26	$19.57	$24.40	$33.13
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $45.96 / $57.27 / $77.77	Professional	TC	$45.96	$57.27	$77.77
United Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $78.52 / $115.60	Professional		$47.38	$78.52	$115.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $25.98 / $39.29	Professional	26	$15.63	$25.98	$39.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.74 / $52.78 / $77.34	Professional	TC	$31.74	$52.78	$77.34