Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.45 / $52.59 / $80.09	Facility	26	$44.45	$52.59	$80.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $218.44 / $278.51	Professional		$129.10	$218.44	$278.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $54.21 / $143.99	Professional	26	$40.11	$54.21	$143.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $60.70 / $73.48 / $108.69	Professional	52	$60.70	$73.48	$108.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.60 / $169.13 / $221.14	Professional	TC	$88.60	$169.13	$221.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.96 / $222.56 / $490.52	Professional		$139.96	$222.56	$490.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $59.72 / $92.19	Professional	26	$43.56	$59.72	$92.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.91 / $146.94 / $328.16	Professional	TC	$96.91	$146.94	$328.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.56 / $81.56 / $81.56	Facility	26	$81.56	$81.56	$81.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.90 / $227.93 / $432.75	Professional		$125.90	$227.93	$432.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $58.08 / $106.79	Professional	26	$37.11	$58.08	$106.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.25 / $167.41 / $330.03	Professional	TC	$88.25	$167.41	$330.03
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $242.78 / $242.78 / $258.82	Professional		$242.78	$242.78	$258.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $215.60 / $490.00	Professional		$170.60	$215.60	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.58 / $65.47 / $149.41	Professional	26	$51.58	$65.47	$149.41
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $119.02 / $151.06 / $354.13	Professional	TC	$119.02	$151.06	$354.13
United Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $240.50 / $457.03	Professional		$172.48	$240.50	$457.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.06 / $73.97 / $110.08	Professional	26	$46.06	$73.97	$110.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.44 / $173.44 / $296.32	Professional	TC	$109.44	$173.44	$296.32