Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.65	Facility		$90.00	$90.00	$100.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.89 / $14.89 / $14.89	Facility	26	$14.89	$14.89	$14.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $85.76 / $85.76 / $85.76	Facility	TC	$85.76	$85.76	$85.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $79.23 / $636.76	Professional		$43.52	$79.23	$636.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $13.07 / $162.82	Professional	26	$7.74	$13.07	$162.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.77 / $54.56 / $85.73	Professional	TC	$35.77	$54.56	$85.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $86.41 / $178.01	Professional		$86.41	$86.41	$178.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $11.86 / $24.43	Professional	26	$11.86	$11.86	$24.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.20 / $74.20 / $152.88	Professional	TC	$74.20	$74.20	$152.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $39.70 / $112.17	Professional		$31.42	$39.70	$112.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.13 / $8.49 / $25.89	Professional	26	$5.13	$8.49	$25.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.75 / $34.33 / $106.22	Professional	TC	$25.75	$34.33	$106.22
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $56.97 / $85.80 / $120.02	Facility		$56.97	$85.80	$120.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $118.27 / $320.18	Professional		$99.95	$118.27	$320.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.32 / $43.65	Professional	26	$13.80	$16.32	$43.65
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $86.16 / $101.96 / $276.52	Professional	TC	$86.16	$101.96	$276.52
United Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $49.73 / $158.02	Professional		$41.61	$49.73	$158.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $7.58 / $25.26	Professional	26	$6.93	$7.58	$25.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $42.74 / $134.54	Professional	TC	$34.79	$42.74	$134.54