Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.32 / $21.35 / $27.18	Facility	26	$20.32	$21.35	$27.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $69.19 / $109.46	Professional		$49.81	$69.19	$109.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $21.35 / $44.41	Professional	26	$17.30	$21.35	$44.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $45.97 / $73.38	Professional	TC	$32.86	$45.97	$73.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $95.16 / $136.91	Professional		$68.45	$95.16	$136.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $29.67 / $42.70	Professional	26	$22.42	$29.67	$42.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.58 / $65.48 / $94.21	Professional	TC	$43.58	$65.48	$94.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $83.51 / $138.47	Professional		$58.91	$83.51	$138.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $27.73 / $48.16	Professional	26	$18.82	$27.73	$48.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.54 / $54.24 / $92.36	Professional	TC	$38.54	$54.24	$92.36
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $121.92 / $129.78	Professional		$121.92	$121.92	$129.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $106.76 / $144.97	Professional		$85.67	$106.76	$144.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.43 / $32.93 / $44.73	Professional	26	$26.43	$32.93	$44.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $59.24 / $73.81 / $100.25	Professional	TC	$59.24	$73.81	$100.25
United Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $102.78 / $167.91	Professional		$65.31	$102.78	$167.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $36.54 / $54.19	Professional	26	$22.13	$36.54	$54.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.40 / $68.18 / $103.75	Professional	TC	$44.40	$68.18	$103.75