Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.21 / $28.21 / $43.78	Facility	26	$28.21	$28.21	$43.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $96.48 / $123.92	Professional		$50.21	$96.48	$123.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.35 / $28.21 / $92.87	Professional	26	$23.35	$28.21	$92.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.56 / $57.68 / $94.41	Professional	TC	$25.56	$57.68	$94.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $89.43 / $133.93	Professional		$68.12	$89.43	$133.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.56 / $39.04 / $55.57	Professional	26	$30.56	$39.04	$55.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.90 / $48.64 / $78.38	Professional	TC	$36.90	$48.64	$78.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $31.27	Facility	26	$31.27	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $94.78 / $173.60	Professional		$53.32	$94.78	$173.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.15 / $33.36 / $65.16	Professional	26	$25.15	$33.36	$65.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.64 / $53.84 / $105.10	Professional	TC	$27.64	$53.84	$105.10
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $112.57 / $118.57	Professional		$112.57	$112.57	$118.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $93.71 / $133.87	Professional		$76.06	$93.71	$133.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $41.38 / $59.11	Professional	26	$33.59	$41.38	$59.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.49 / $52.34 / $74.78	Professional	TC	$42.49	$52.34	$74.78
United Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $107.84 / $177.01	Professional		$68.06	$107.84	$177.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.24 / $44.39 / $67.23	Professional	26	$30.24	$44.39	$67.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.76 / $56.70 / $100.03	Professional	TC	$32.76	$56.70	$100.03