Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.18 / $88.19 / $90.82	Facility	26	$88.18	$88.19	$90.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.74 / $375.00 / $603.00	Professional		$259.74	$375.00	$603.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.90 / $107.90 / $222.17	Professional	26	$67.90	$107.90	$222.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.62 / $262.50 / $435.80	Professional	TC	$194.62	$262.50	$435.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.14 / $370.49 / $921.25	Professional		$284.14	$370.49	$921.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.69 / $98.93 / $143.05	Professional	26	$74.69	$98.93	$143.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $214.61 / $279.25 / $698.14	Professional	TC	$214.61	$279.25	$698.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.69 / $139.69 / $139.69	Facility	26	$139.69	$139.69	$139.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.31 / $468.82 / $831.63	Professional		$263.31	$468.82	$831.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.76 / $92.43 / $165.00	Professional	26	$62.76	$92.43	$165.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.94 / $364.92 / $643.00	Professional	TC	$198.94	$364.92	$643.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $496.87 / $496.87 / $531.28	Professional		$496.87	$496.87	$531.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.15 / $443.16 / $758.00	Professional		$349.15	$443.16	$758.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $88.19 / $111.94 / $257.33	Professional	26	$88.19	$111.94	$257.33
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $260.95 / $331.22 / $758.00	Professional	TC	$260.95	$331.22	$758.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.68 / $536.36 / $857.11	Professional		$352.68	$536.36	$857.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.91 / $121.26 / $198.10	Professional	26	$63.91	$121.26	$198.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.22 / $398.95 / $684.71	Professional	TC	$270.22	$398.95	$684.71