Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.01 / $15.40 / $23.51	Facility	26	$12.01	$15.40	$23.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $70.68 / $95.21	Professional		$37.50	$70.68	$95.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $14.35 / $23.12	Professional	26	$7.33	$14.35	$23.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.96 / $48.42 / $78.90	Professional	TC	$23.96	$48.42	$78.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $64.70 / $102.63	Professional		$46.55	$64.70	$102.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.35 / $21.20 / $31.17	Professional	26	$14.35	$21.20	$31.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.42 / $43.24 / $67.39	Professional	TC	$30.42	$43.24	$67.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $72.59 / $142.00	Professional		$39.10	$72.59	$142.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $14.32 / $30.10	Professional	26	$7.66	$14.32	$30.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.79 / $49.84 / $104.27	Professional	TC	$24.79	$49.84	$104.27
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $79.94 / $84.62	Professional		$79.94	$79.94	$84.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $70.00 / $95.06	Professional		$56.17	$70.00	$95.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $23.47 / $29.05	Professional	26	$19.07	$23.47	$29.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $46.23 / $62.79	Professional	TC	$37.10	$46.23	$62.79
United Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $77.20 / $137.59	Professional		$51.13	$77.20	$137.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $22.88 / $37.84	Professional	26	$8.66	$22.88	$37.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.52 / $51.55 / $89.97	Professional	TC	$35.52	$51.55	$89.97