Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $51.84 / $104.36	Professional		$39.03	$51.84	$104.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $16.28 / $76.72	Professional	26	$13.95	$16.28	$76.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.56 / $36.42 / $46.07	Professional	TC	$24.56	$36.42	$46.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $69.13 / $142.41	Professional		$69.13	$69.13	$142.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.36 / $22.36 / $46.07	Professional	26	$22.36	$22.36	$46.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.76 / $46.76 / $96.33	Professional	TC	$46.76	$46.76	$96.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $35.36 / $105.00	Professional		$29.73	$35.36	$105.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $13.93 / $52.80	Professional	26	$10.69	$13.93	$52.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $23.06 / $74.00	Professional	TC	$18.43	$23.06	$74.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $86.25 / $106.49	Facility		$61.25	$86.25	$106.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $100.45 / $263.47	Professional		$84.89	$100.45	$263.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $30.43 / $81.36	Professional	26	$25.72	$30.43	$81.36
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $59.18 / $70.03 / $182.10	Professional	TC	$59.18	$70.03	$182.10
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $42.85 / $142.80	Professional		$37.90	$42.85	$142.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $16.45 / $49.70	Professional	26	$12.98	$16.45	$49.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $28.16 / $90.81	Professional	TC	$23.82	$28.16	$90.81