Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.05 / $16.87 / $21.47	Facility	26	$16.05	$16.87	$21.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $45.87 / $81.50	Professional		$34.79	$45.87	$81.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $16.57 / $30.51	Professional	26	$12.34	$16.57	$30.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $29.29 / $42.52	Professional	TC	$22.46	$29.29	$42.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $68.78 / $98.95	Professional		$49.04	$68.78	$98.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $23.25 / $33.21	Professional	26	$17.32	$23.25	$33.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.49 / $45.22 / $65.39	Professional	TC	$31.49	$45.22	$65.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $55.19 / $97.30	Professional		$36.01	$55.19	$97.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.42 / $21.06 / $35.04	Professional	26	$14.42	$21.06	$35.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.46 / $34.83 / $58.08	Professional	TC	$21.46	$34.83	$58.08
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $86.28 / $91.58	Professional		$86.28	$86.28	$91.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $75.56 / $102.61	Professional		$60.63	$75.56	$102.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $26.02 / $35.33	Professional	26	$20.88	$26.02	$35.33
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $39.75 / $49.54 / $67.28	Professional	TC	$39.75	$49.54	$67.28
United Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $73.56 / $112.20	Professional		$42.56	$73.56	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $27.62 / $41.62	Professional	26	$15.87	$27.62	$41.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.69 / $44.90 / $68.02	Professional	TC	$26.69	$44.90	$68.02