Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.80 / $31.29 / $31.29	Facility	26	$29.80	$31.29	$31.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $71.98 / $113.71	Professional		$58.35	$71.98	$113.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.19 / $29.53 / $47.91	Professional	26	$23.19	$29.53	$47.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.84 / $35.26 / $46.87	Professional	52	$27.84	$35.26	$46.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.56 / $43.74 / $65.80	Professional	TC	$31.56	$43.74	$65.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $100.44 / $145.91	Professional		$74.65	$100.44	$145.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.45 / $42.87 / $61.67	Professional	26	$31.45	$42.87	$61.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $101.37 / $116.26 / $152.94	Professional	50	$101.37	$116.26	$152.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.13 / $56.69 / $81.27	Professional	TC	$42.13	$56.69	$81.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $88.72 / $157.68	Professional		$62.42	$88.72	$157.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.99 / $34.47 / $68.87	Professional	26	$25.99	$34.47	$68.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.51 / $51.28 / $91.93	Professional	TC	$33.51	$51.28	$91.93
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $126.82 / $134.75	Professional		$126.82	$126.82	$134.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $105.57 / $150.81	Professional		$85.69	$105.57	$150.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.25 / $45.89 / $65.56	Professional	26	$37.25	$45.89	$65.56
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $48.45 / $59.69 / $85.27	Professional	TC	$48.45	$59.69	$85.27
United Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $101.78 / $168.42	Professional		$71.41	$101.78	$168.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.60 / $47.64 / $74.80	Professional	26	$29.60	$47.64	$74.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.51 / $56.24 / $97.50	Professional	TC	$43.51	$56.24	$97.50