Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.70 / $65.72 / $89.56	Facility	26	$65.70	$65.72	$89.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $281.67 / $346.44	Professional		$171.00	$281.67	$346.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $65.72 / $146.37	Professional	26	$54.86	$65.72	$146.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $113.12 / $201.68 / $282.38	Professional	TC	$113.12	$201.68	$282.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.87 / $254.29 / $596.73	Professional		$188.87	$254.29	$596.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.72 / $86.35 / $123.51	Professional	26	$64.72	$86.35	$123.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.17 / $190.00 / $424.37	Professional	TC	$126.17	$190.00	$424.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.00 / $121.00 / $121.00	Facility	26	$121.00	$121.00	$121.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.49 / $306.87 / $543.00	Professional		$170.49	$306.87	$543.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.28 / $80.01 / $134.04	Professional	26	$54.28	$80.01	$134.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.85 / $212.73 / $408.91	Professional	TC	$111.85	$212.73	$408.91
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $328.21 / $328.21 / $348.89	Professional		$328.21	$328.21	$348.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.63 / $292.73 / $490.00	Professional		$230.63	$292.73	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.28 / $96.82 / $222.54	Professional	26	$76.28	$96.82	$222.54
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $154.35 / $195.90 / $458.59	Professional	TC	$154.35	$195.90	$458.59
United Facility/Professional Professional Modifier Low / Median / High Price $213.31 / $322.80 / $502.21	Professional		$213.31	$322.80	$502.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.11 / $103.94 / $159.15	Professional	26	$55.11	$103.94	$159.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.94 / $232.56 / $417.39	Professional	TC	$153.94	$232.56	$417.39