Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $14.49 / $28.62	Facility	26	$13.80	$14.49	$28.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $57.25 / $90.90	Professional		$43.95	$57.25	$90.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $14.49 / $21.87	Professional	26	$11.91	$14.49	$21.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.18 / $40.50 / $69.03	Professional	TC	$31.18	$40.50	$69.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $75.84 / $112.58	Professional		$54.56	$75.84	$112.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.91 / $20.72 / $29.97	Professional	26	$14.91	$20.72	$29.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.50 / $55.51 / $85.41	Professional	TC	$40.50	$55.51	$85.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $70.02 / $119.82	Professional		$49.07	$70.02	$119.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $18.86 / $32.72	Professional	26	$12.78	$18.86	$32.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.79 / $50.39 / $86.23	Professional	TC	$35.79	$50.39	$86.23
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $100.86 / $107.65	Professional		$100.86	$100.86	$107.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $88.32 / $119.94	Professional		$70.88	$88.32	$119.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.94 / $22.36 / $30.36	Professional	26	$17.94	$22.36	$30.36
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $52.95 / $65.98 / $89.61	Professional	TC	$52.95	$65.98	$89.61
United Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $86.99 / $135.33	Professional		$41.60	$86.99	$135.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.53 / $24.26 / $48.52	Professional	26	$11.53	$24.26	$48.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.28 / $63.63 / $97.92	Professional	TC	$30.28	$63.63	$97.92