Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.45 / $66.47 / $94.90	Facility	26	$66.45	$66.47	$94.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $243.96 / $305.10	Professional		$160.88	$243.96	$305.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $66.47 / $169.83	Professional	26	$55.15	$66.47	$169.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.84 / $175.05 / $221.14	Professional	TC	$99.84	$175.05	$221.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $242.25 / $543.35	Professional		$172.50	$242.25	$543.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.43 / $87.30 / $124.71	Professional	26	$65.43	$87.30	$124.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.93 / $165.23 / $386.00	Professional	TC	$108.93	$165.23	$386.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.66 / $121.66 / $121.66	Facility	26	$121.66	$121.66	$121.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.18 / $293.12 / $516.16	Professional		$155.18	$293.12	$516.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.90 / $80.95 / $134.78	Professional	26	$54.90	$80.95	$134.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.20 / $210.00 / $377.83	Professional	TC	$99.20	$210.00	$377.83
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $300.45 / $318.55	Professional		$300.45	$300.45	$318.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.13 / $267.98 / $490.00	Professional		$211.13	$267.98	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.16 / $97.93 / $225.09	Professional	26	$77.16	$97.93	$225.09
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $133.97 / $170.05 / $397.82	Professional	TC	$133.97	$170.05	$397.82
United Facility/Professional Professional Modifier Low / Median / High Price $232.46 / $343.94 / $560.59	Professional		$232.46	$343.94	$560.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.49 / $107.12 / $163.30	Professional	26	$55.49	$107.12	$163.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.90 / $241.90 / $446.57	Professional	TC	$144.90	$241.90	$446.57