Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.83 / $35.77 / $43.21	Facility	26	$27.83	$35.77	$43.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $79.34 / $101.90	Professional		$53.77	$79.34	$101.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.37 / $27.84 / $89.61	Professional	26	$23.37	$27.84	$89.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.41 / $30.51 / $84.33	Professional	52	$24.41	$30.51	$84.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.56 / $54.84 / $69.59	Professional	TC	$26.56	$54.84	$69.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $84.80 / $128.19	Professional		$65.53	$84.80	$128.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $38.90 / $55.57	Professional	26	$28.82	$38.90	$55.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.45 / $45.20 / $69.52	Professional	TC	$34.45	$45.20	$69.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.97 / $30.97 / $30.97	Facility	26	$30.97	$30.97	$30.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $86.32 / $172.13	Professional		$58.75	$86.32	$172.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.39 / $31.00 / $61.18	Professional	26	$24.39	$31.00	$61.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.82 / $55.82 / $110.44	Professional	TC	$31.82	$55.82	$110.44
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $107.50 / $112.96	Professional		$107.50	$107.50	$112.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $89.49 / $127.84	Professional		$72.64	$89.49	$127.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.14 / $40.83 / $58.32	Professional	26	$33.14	$40.83	$58.32
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $39.50 / $48.66 / $69.52	Professional	TC	$39.50	$48.66	$69.52
United Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $116.70 / $201.20	Professional		$84.81	$116.70	$201.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.77 / $43.14 / $63.91	Professional	26	$27.77	$43.14	$63.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.78 / $76.26 / $125.40	Professional	TC	$56.78	$76.26	$125.40