Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.39 / $58.40 / $84.24	Facility	26	$58.39	$58.40	$84.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $232.72 / $290.63	Professional		$149.01	$232.72	$290.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $56.66 / $146.51	Professional	26	$48.57	$56.66	$146.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.61 / $162.25 / $229.28	Professional	TC	$94.61	$162.25	$229.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $236.86 / $511.67	Professional		$160.97	$236.86	$511.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.49 / $76.39 / $109.24	Professional	26	$57.49	$76.39	$109.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.27 / $158.57 / $343.64	Professional	TC	$105.27	$158.57	$343.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.32 / $108.32 / $108.32	Facility	26	$108.32	$108.32	$108.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $257.58 / $487.64	Professional		$143.54	$257.58	$487.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.23 / $69.34 / $119.00	Professional	26	$48.23	$69.34	$119.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.63 / $172.80 / $338.00	Professional	TC	$93.63	$172.80	$338.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $280.83 / $298.24	Professional		$280.83	$280.83	$298.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.34 / $249.70 / $490.00	Professional		$197.34	$249.70	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.80 / $86.05 / $197.75	Professional	26	$67.80	$86.05	$197.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $129.55 / $164.42 / $383.87	Professional	TC	$129.55	$164.42	$383.87
United Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $273.22 / $469.80	Professional		$192.78	$273.22	$469.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.99 / $92.80 / $144.35	Professional	26	$48.99	$92.80	$144.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.60 / $190.99 / $348.61	Professional	TC	$119.60	$190.99	$348.61