Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $76.69 / $115.94	Professional		$60.55	$76.69	$115.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.63 / $62.91 / $638.28	Professional	26	$38.63	$62.91	$638.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $31.53 / $47.25	Professional	TC	$20.16	$31.53	$47.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $217.80	Professional		$105.73	$105.73	$217.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.01 / $62.01 / $127.75	Professional	26	$62.01	$62.01	$127.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.71 / $43.71 / $90.05	Professional	TC	$43.71	$43.71	$90.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $52.02 / $171.81	Professional		$39.27	$52.02	$171.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.61 / $32.97 / $129.41	Professional	26	$26.61	$32.97	$129.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.66 / $20.74 / $60.78	Professional	TC	$12.66	$20.74	$60.78
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $91.77 / $117.18 / $155.01	Facility		$91.77	$117.18	$155.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $143.29 / $384.50	Professional		$121.09	$143.29	$384.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $84.39 / $224.39	Professional	26	$71.31	$84.39	$224.39
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $49.78 / $58.90 / $160.11	Professional	TC	$49.78	$58.90	$160.11
United Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $60.52 / $200.66	Professional		$53.23	$60.52	$200.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.68 / $39.61 / $130.63	Professional	26	$35.68	$39.61	$130.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $24.77 / $66.52	Professional	TC	$17.28	$24.77	$66.52