Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.63 / $12.93 / $15.34	Facility	26	$9.63	$12.93	$15.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $66.39 / $149.90	Professional		$35.42	$66.39	$149.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $9.73 / $26.88	Professional	26	$9.02	$9.73	$26.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $53.85 / $96.77	Professional	TC	$23.77	$53.85	$96.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $57.98 / $97.97	Professional		$42.30	$57.98	$97.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $13.28 / $19.45	Professional	26	$10.11	$13.28	$19.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.18 / $44.22 / $71.26	Professional	TC	$32.18	$44.22	$71.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $68.15 / $170.50	Professional		$36.08	$68.15	$170.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $12.51 / $21.70	Professional	26	$8.52	$12.51	$21.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.46 / $51.87 / $121.89	Professional	TC	$27.46	$51.87	$121.89
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $73.54 / $78.64	Professional		$73.54	$73.54	$78.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $64.40 / $93.41	Professional		$51.68	$64.40	$93.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $14.86 / $20.63	Professional	26	$11.92	$14.86	$20.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $39.75 / $49.54 / $68.81	Professional	TC	$39.75	$49.54	$68.81
United Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $69.45 / $125.55	Professional		$46.62	$69.45	$125.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $16.38 / $26.43	Professional	26	$7.48	$16.38	$26.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.47 / $53.11 / $96.76	Professional	TC	$33.47	$53.11	$96.76