Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.12 / $25.27 / $36.54	Facility	26	$24.12	$25.27	$36.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $73.73 / $148.29	Professional		$40.90	$73.73	$148.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $24.12 / $68.44	Professional	26	$16.92	$24.12	$68.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $43.08 / $70.76	Professional	TC	$20.74	$43.08	$70.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $73.70 / $113.35	Professional		$55.05	$73.70	$113.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.06 / $33.20 / $48.12	Professional	26	$24.06	$33.20	$48.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.80 / $39.31 / $63.08	Professional	TC	$28.80	$39.31	$63.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $26.65 / $26.65	Facility	26	$26.65	$26.65	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $82.65 / $148.16	Professional		$43.91	$82.65	$148.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $25.42 / $51.18	Professional	26	$17.57	$25.42	$51.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $43.41 / $98.09	Professional	TC	$22.11	$43.41	$98.09
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $97.62	Professional		$92.76	$92.76	$97.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $77.22 / $110.31	Professional		$62.68	$77.22	$110.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.71 / $35.36 / $50.53	Professional	26	$28.71	$35.36	$50.53
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.97 / $41.86 / $59.80	Professional	TC	$33.97	$41.86	$59.80
United Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $92.45 / $143.38	Professional		$52.06	$92.45	$143.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $36.63 / $54.55	Professional	26	$19.84	$36.63	$54.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.88 / $44.81 / $87.13	Professional	TC	$26.88	$44.81	$87.13