Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.95 / $15.47 / $15.47	Facility	26	$14.95	$15.47	$15.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $31.00 / $71.70	Professional		$17.14	$31.00	$71.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $14.65 / $23.29	Professional	26	$7.03	$14.65	$23.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $21.93 / $48.42	Professional	TC	$10.11	$21.93	$48.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $60.33 / $88.11	Professional		$31.77	$60.33	$88.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $20.74 / $30.50	Professional	26	$11.21	$20.74	$30.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.77 / $39.75 / $57.61	Professional	TC	$25.77	$39.75	$57.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $38.94 / $75.81	Professional		$16.88	$38.94	$75.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $14.54 / $27.73	Professional	26	$7.33	$14.54	$27.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $24.40 / $48.09	Professional	TC	$9.55	$24.40	$48.09
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $80.05 / $84.88	Professional		$80.05	$80.05	$84.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $70.09 / $95.19	Professional		$56.25	$70.09	$95.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $23.86 / $32.40	Professional	26	$19.14	$23.86	$32.40
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 $19.84 / $65.51 / $94.31	Professional		$19.84	$65.51	$94.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $23.55 / $40.60	Professional	26	$8.23	$23.55	$40.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.54 / $39.52 / $61.00	Professional	TC	$11.54	$39.52	$61.00