Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.06 / $54.28 / $98.80	Facility	26	$44.06	$54.28	$98.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $180.79 / $297.67	Professional		$106.94	$180.79	$297.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.76 / $44.06 / $136.59	Professional	26	$37.76	$44.06	$136.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.76 / $130.46 / $193.36	Professional	TC	$66.76	$130.46	$193.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $157.69 / $404.34	Professional		$115.22	$157.69	$404.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.02 / $57.41 / $83.90	Professional	26	$43.02	$57.41	$83.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.20 / $111.33 / $301.50	Professional	TC	$73.20	$111.33	$301.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.89 / $80.89 / $80.89	Facility	26	$80.89	$80.89	$80.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $195.88 / $400.00	Professional		$103.80	$195.88	$400.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.11 / $53.37 / $100.01	Professional	26	$36.11	$53.37	$100.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.23 / $126.28 / $271.00	Professional	TC	$65.23	$126.28	$271.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $201.84 / $201.84 / $214.12	Professional		$201.84	$201.84	$214.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $178.92 / $415.57	Professional		$141.83	$178.92	$415.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.14 / $64.91 / $148.12	Professional	26	$51.14	$64.91	$148.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $90.68 / $115.09 / $267.45	Professional	TC	$90.68	$115.09	$267.45
United Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $197.05 / $360.20	Professional		$130.22	$197.05	$360.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.10 / $69.87 / $109.18	Professional	26	$37.10	$69.87	$109.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.87 / $131.04 / $237.84	Professional	TC	$77.87	$131.04	$237.84