Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.27 / $12.26 / $14.81	Facility	26	$10.27	$12.26	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $44.75 / $83.04	Professional		$23.83	$44.75	$83.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.31 / $32.56	Professional	26	$8.84	$10.31	$32.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.96 / $31.84 / $76.31	Professional	TC	$13.96	$31.84	$76.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $36.36 / $61.44	Professional		$27.58	$36.36	$61.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $13.47 / $19.45	Professional	26	$9.67	$13.47	$19.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.61 / $22.76 / $38.19	Professional	TC	$16.61	$22.76	$38.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.13 / $13.13 / $18.71	Facility	26	$13.13	$13.13	$18.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $43.17 / $151.86	Professional		$21.51	$43.17	$151.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $12.49 / $21.38	Professional	26	$8.50	$12.49	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.37 / $25.35 / $119.53	Professional	TC	$12.37	$25.35	$119.53
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $47.71 / $50.45	Professional		$47.71	$47.71	$50.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $41.78 / $58.03	Professional		$33.53	$41.78	$58.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $14.49 / $18.34	Professional	26	$11.92	$14.49	$18.34
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.61 / $26.92 / $36.56	Professional	TC	$21.61	$26.92	$36.56
United Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $42.25 / $87.94	Professional		$27.95	$42.25	$87.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $16.25 / $25.28	Professional	26	$8.71	$16.25	$25.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.69 / $25.12 / $79.23	Professional	TC	$16.69	$25.12	$79.23