Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $25.62 / $38.44	Facility		$25.62	$25.62	$38.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.98 / $4.98 / $7.47	Facility	26	$4.98	$4.98	$7.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $25.63 / $107.61	Professional		$19.39	$25.63	$107.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.26 / $5.47 / $29.13	Professional	26	$4.26	$5.47	$29.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.67 / $19.44 / $34.63	Professional	TC	$14.67	$19.44	$34.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $34.56 / $71.20	Professional		$34.56	$34.56	$71.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $6.77 / $13.96	Professional	26	$6.77	$6.77	$13.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $27.78 / $57.24	Professional	TC	$27.78	$27.78	$57.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $21.48 / $68.59	Professional		$14.92	$21.48	$68.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.86 / $4.78 / $16.73	Professional	26	$2.86	$4.78	$16.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.47 / $18.62 / $53.79	Professional	TC	$11.47	$18.62	$53.79
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $43.85 / $71.59	Facility		$29.47	$43.85	$71.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $47.90 / $128.08	Professional		$40.47	$47.90	$128.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.86 / $9.30 / $24.87	Professional	26	$7.86	$9.30	$24.87
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.61 / $38.60 / $103.21	Professional	TC	$32.61	$38.60	$103.21
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $29.56 / $72.70	Professional		$18.84	$29.56	$72.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.86 / $4.33 / $14.70	Professional	26	$3.86	$4.33	$14.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $25.10 / $55.98	Professional	TC	$14.51	$25.10	$55.98