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 / $65.34	Facility	26	$65.34	$65.34	$65.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $234.37 / $430.29	Professional		$175.56	$234.37	$430.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.47 / $65.34 / $93.87	Professional	26	$56.47	$65.34	$93.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $160.38 / $359.11	Professional	TC	$119.70	$160.38	$359.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $297.17 / $636.23	Professional		$192.32	$297.17	$636.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.34 / $87.57 / $123.35	Professional	26	$64.34	$87.57	$123.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.09 / $220.90 / $491.70	Professional	TC	$132.09	$220.90	$491.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.00 / $121.00 / $121.00	Facility	26	$121.00	$121.00	$121.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.70 / $331.69 / $606.00	Professional		$181.70	$331.69	$606.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.97 / $79.50 / $138.32	Professional	26	$53.97	$79.50	$138.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.42 / $238.64 / $489.00	Professional	TC	$125.42	$238.64	$489.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $348.37 / $348.37 / $370.91	Professional		$348.37	$348.37	$370.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $310.70 / $490.00	Professional		$244.80	$310.70	$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 $168.96 / $214.45 / $490.00	Professional	TC	$168.96	$214.45	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.49 / $351.02 / $612.25	Professional		$226.49	$351.02	$612.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.74 / $105.18 / $178.30	Professional	26	$58.74	$105.18	$178.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.38 / $258.88 / $458.20	Professional	TC	$155.38	$258.88	$458.20