Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.75 / $33.34 / $33.34	Facility	26	$31.75	$33.34	$33.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $79.14 / $124.27	Professional		$66.02	$79.14	$124.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.49 / $33.34 / $51.26	Professional	26	$26.49	$33.34	$51.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.54 / $49.35 / $73.33	Professional	TC	$37.54	$49.35	$73.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $112.26 / $161.16	Professional		$85.53	$112.26	$161.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.79 / $46.02 / $65.73	Professional	26	$35.79	$46.02	$65.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $110.24 / $129.69 / $171.70	Professional	50	$110.24	$129.69	$171.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.09 / $64.95 / $93.78	Professional	TC	$48.09	$64.95	$93.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.24 / $36.24 / $36.24	Facility	26	$36.24	$36.24	$36.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $103.79 / $207.24	Professional		$73.33	$103.79	$207.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $39.97 / $79.30	Professional	26	$29.52	$39.97	$79.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.89 / $62.63 / $127.73	Professional	TC	$42.89	$62.63	$127.73
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $147.28	Professional		$138.63	$138.63	$147.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $115.41 / $164.87	Professional		$93.68	$115.41	$164.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.69 / $48.90 / $69.84	Professional	26	$39.69	$48.90	$69.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $53.98 / $66.50 / $95.00	Professional	TC	$53.98	$66.50	$95.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $143.31 / $224.80	Professional		$88.00	$143.31	$224.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $53.37 / $83.64	Professional	26	$33.97	$53.37	$83.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.49 / $89.50 / $142.09	Professional	TC	$50.49	$89.50	$142.09