Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.34 / $65.34 / $93.83	Facility	26	$65.34	$65.34	$93.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $268.14 / $444.84	Professional		$199.52	$268.14	$444.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.47 / $65.34 / $104.49	Professional	26	$56.47	$65.34	$104.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.11 / $188.15 / $334.26	Professional	TC	$141.11	$188.15	$334.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.79 / $320.33 / $726.96	Professional		$230.79	$320.33	$726.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.81 / $86.61 / $122.83	Professional	26	$64.81	$86.61	$122.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.45 / $242.55 / $546.32	Professional	TC	$169.45	$242.55	$546.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.69 / $137.69 / $137.69	Facility	26	$137.69	$137.69	$137.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.64 / $380.18 / $681.90	Professional		$207.64	$380.18	$681.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.97 / $80.56 / $145.11	Professional	26	$53.97	$80.56	$145.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.60 / $289.69 / $515.02	Professional	TC	$152.60	$289.69	$515.02
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $398.16 / $398.16 / $425.22	Professional		$398.16	$398.16	$425.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.79 / $355.11 / $490.00	Professional		$279.79	$355.11	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.84 / $96.26 / $221.25	Professional	26	$75.84	$96.26	$221.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $203.93 / $258.83 / $490.00	Professional	TC	$203.93	$258.83	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.73 / $427.62 / $722.48	Professional		$292.73	$427.62	$722.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.24 / $107.12 / $168.79	Professional	26	$62.24	$107.12	$168.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.49 / $313.00 / $538.79	Professional	TC	$191.49	$313.00	$538.79