Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.13 / $43.19 / $43.19	Facility	26	$41.13	$43.19	$43.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $106.49 / $152.94	Professional		$70.20	$106.49	$152.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $41.13 / $55.53	Professional	26	$30.09	$41.13	$55.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $158.28 / $227.74	Professional		$112.86	$158.28	$227.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.31 / $58.36 / $83.36	Professional	26	$44.31	$58.36	$83.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.66 / $126.87 / $219.38	Professional		$81.66	$126.87	$219.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.70 / $53.15 / $91.30	Professional	26	$36.70	$53.15	$91.30
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $208.29 / $208.29 / $221.45	Professional		$208.29	$208.29	$221.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $182.40 / $247.70	Professional		$146.37	$182.40	$247.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.47 / $66.63 / $90.49	Professional	26	$53.47	$66.63	$90.49
United Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $164.93 / $260.58	Professional		$97.02	$164.93	$260.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.48 / $70.76 / $104.81	Professional	26	$41.48	$70.76	$104.81