Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.39 / $69.27 / $91.60	Facility	26	$58.39	$69.27	$91.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.87 / $263.05 / $353.25	Professional		$152.87	$263.05	$353.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.05 / $62.26 / $187.37	Professional	26	$53.05	$62.26	$187.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.79 / $175.62 / $287.80	Professional	TC	$98.79	$175.62	$287.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.52 / $255.89 / $528.27	Professional		$165.52	$255.89	$528.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.16 / $77.47 / $109.99	Professional	26	$57.16	$77.47	$109.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.80 / $178.98 / $388.37	Professional	TC	$109.80	$178.98	$388.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.95 / $106.95 / $106.95	Facility	26	$106.95	$106.95	$106.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $272.08 / $500.00	Professional		$149.06	$272.08	$500.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.92 / $71.20 / $126.65	Professional	26	$47.92	$71.20	$126.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.84 / $188.58 / $391.00	Professional	TC	$99.84	$188.58	$391.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $287.77 / $287.77 / $305.81	Professional		$287.77	$287.77	$305.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.22 / $256.66 / $490.00	Professional		$202.22	$256.66	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.80 / $86.05 / $196.46	Professional	26	$67.80	$86.05	$196.46
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $134.41 / $170.61 / $400.40	Professional	TC	$134.41	$170.61	$400.40
United Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $288.48 / $547.97	Professional		$202.10	$288.48	$547.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.81 / $94.66 / $144.35	Professional	26	$53.81	$94.66	$144.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.30 / $202.81 / $335.38	Professional	TC	$133.30	$202.81	$335.38