Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.44 / $15.44 / $15.45	Facility	26	$15.44	$15.44	$15.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $55.15 / $72.19	Professional		$34.54	$55.15	$72.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $15.27 / $31.73	Professional	26	$12.82	$15.27	$31.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.12 / $41.56 / $51.77	Professional	TC	$21.12	$41.56	$51.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $60.73 / $96.72	Professional		$44.24	$60.73	$96.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $21.19 / $30.50	Professional	26	$16.27	$21.19	$30.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.12 / $40.22 / $63.56	Professional	TC	$28.12	$40.22	$63.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $66.34 / $115.00	Professional		$37.49	$66.34	$115.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.63 / $19.98 / $34.25	Professional	26	$13.63	$19.98	$34.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.77 / $41.54 / $76.58	Professional	TC	$22.77	$41.54	$76.58
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $76.87 / $81.34	Professional		$76.87	$76.87	$81.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $67.31 / $91.41	Professional		$54.02	$67.31	$91.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $23.85 / $32.38	Professional	26	$19.14	$23.85	$32.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.88 / $43.46 / $59.03	Professional	TC	$34.88	$43.46	$59.03
United Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $71.62 / $101.95	Professional		$48.59	$71.62	$101.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.64 / $26.68 / $38.70	Professional	26	$15.64	$26.68	$38.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.99 / $42.95 / $77.00	Professional	TC	$26.99	$42.95	$77.00