Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.17 / $9.63 / $20.14	Facility	26	$9.17	$9.63	$20.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $30.95 / $56.73	Professional		$25.76	$30.95	$56.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $9.63 / $17.13	Professional	26	$8.48	$9.63	$17.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $20.63 / $39.15	Professional	TC	$17.28	$20.63	$39.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $46.02 / $70.81	Professional		$33.06	$46.02	$70.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $13.76 / $19.75	Professional	26	$10.16	$13.76	$19.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.50 / $32.03 / $47.23	Professional	TC	$22.50	$32.03	$47.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $40.00 / $69.77	Professional		$24.95	$40.00	$69.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $12.98 / $22.95	Professional	26	$8.82	$12.98	$22.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.34 / $26.00 / $45.26	Professional	TC	$15.34	$26.00	$45.26
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $59.68 / $63.53	Professional		$59.68	$59.68	$63.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $52.26 / $70.97	Professional		$41.94	$52.26	$70.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $14.86 / $20.17	Professional	26	$11.92	$14.86	$20.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.02 / $37.40 / $50.80	Professional	TC	$30.02	$37.40	$50.80
United Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $50.59 / $78.26	Professional		$22.82	$50.59	$78.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $16.96 / $33.82	Professional	26	$7.90	$16.96	$33.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.22 / $35.79 / $49.76	Professional	TC	$14.22	$35.79	$49.76