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 / $69.73	Facility	26	$58.39	$58.40	$69.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.46 / $310.22 / $409.21	Professional		$175.46	$310.22	$409.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.37 / $63.15 / $175.58	Professional	26	$53.37	$63.15	$175.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.94 / $225.45 / $339.73	Professional	TC	$123.94	$225.45	$339.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.57 / $290.08 / $622.35	Professional		$197.57	$290.08	$622.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.49 / $77.47 / $116.72	Professional	26	$57.49	$77.47	$116.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $143.01 / $215.75 / $470.54	Professional	TC	$143.01	$215.75	$470.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.69 / $131.69 / $131.69	Facility	26	$131.69	$131.69	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $335.85 / $598.92	Professional		$177.80	$335.85	$598.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.22 / $76.41 / $138.31	Professional	26	$49.22	$76.41	$138.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.58 / $249.44 / $442.00	Professional	TC	$128.58	$249.44	$442.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $341.95 / $341.95 / $364.93	Professional		$341.95	$341.95	$364.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.29 / $304.99 / $490.00	Professional		$240.29	$304.99	$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 $172.50 / $218.94 / $490.00	Professional	TC	$172.50	$218.94	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $377.39 / $657.46	Professional		$243.77	$377.39	$657.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $101.04 / $154.44	Professional	26	$57.74	$101.04	$154.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.17 / $270.82 / $490.54	Professional	TC	$195.17	$270.82	$490.54