Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.40 / $13.40 / $17.05	Facility	26	$13.40	$13.40	$17.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $48.00 / $91.39	Professional		$34.85	$48.00	$91.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $13.53 / $37.58	Professional	26	$12.59	$13.53	$37.58
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.41 / $22.86 / $25.77	Professional	52	$14.41	$22.86	$25.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.74 / $55.94	Professional	TC	$22.26	$27.74	$55.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $65.95 / $95.36	Professional		$47.02	$65.95	$95.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.10 / $18.50 / $26.43	Professional	26	$14.10	$18.50	$26.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.54 / $47.58 / $68.45	Professional	TC	$32.54	$47.58	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $51.19 / $87.12	Professional		$32.46	$51.19	$87.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $17.42 / $30.40	Professional	26	$11.82	$17.42	$30.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.85 / $32.50 / $59.87	Professional	TC	$19.85	$32.50	$59.87
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $84.60 / $90.13	Professional		$84.60	$84.60	$90.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $74.08 / $100.61	Professional		$59.45	$74.08	$100.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.59 / $20.67 / $28.07	Professional	26	$16.59	$20.67	$28.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.86 / $53.41 / $72.53	Professional	TC	$42.86	$53.41	$72.53
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $67.13 / $106.24	Professional		$37.61	$67.13	$106.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $23.37 / $45.46	Professional	26	$13.71	$23.37	$45.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $46.02 / $95.00	Professional	TC	$23.80	$46.02	$95.00