Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $33.68 / $42.11	Facility	26	$26.70	$33.68	$42.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $59.44 / $115.82	Professional		$27.66	$59.44	$115.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $33.68 / $87.58	Professional	26	$17.23	$33.68	$87.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $27.01 / $54.79	Professional	TC	$9.18	$27.01	$54.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $61.59 / $89.79	Professional		$43.72	$61.59	$89.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.24 / $46.30 / $67.09	Professional	26	$32.24	$46.30	$67.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.15 / $66.75 / $103.04	Professional	50	$49.15	$66.75	$103.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.64 / $14.25 / $24.07	Professional	TC	$10.64	$14.25	$24.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $53.37 / $112.19	Professional		$28.31	$53.37	$112.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $29.40 / $56.81	Professional	26	$18.76	$29.40	$56.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $26.26 / $64.80	Professional	TC	$9.55	$26.26	$64.80
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $119.08 / $119.08 / $124.78	Professional		$119.08	$119.08	$124.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $99.13 / $141.61	Professional		$74.03	$99.13	$141.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.10 / $49.40 / $70.58	Professional	26	$40.10	$49.40	$70.58
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $49.71 / $71.02	Professional	TC	$37.11	$49.71	$71.02
United Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $75.66 / $132.01	Professional		$32.88	$75.66	$132.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.76 / $36.11 / $70.19	Professional	26	$21.76	$36.11	$70.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.06 / $44.82 / $71.70	Professional	TC	$11.06	$44.82	$71.70