Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.45 / $66.45 / $78.56	Facility	26	$66.45	$66.45	$78.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.11 / $232.78 / $287.95	Professional		$151.11	$232.78	$287.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $66.45 / $135.72	Professional	26	$55.15	$66.45	$135.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.52 / $159.63 / $221.14	Professional	TC	$89.52	$159.63	$221.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $236.41 / $514.53	Professional		$163.05	$236.41	$514.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.08 / $87.30 / $124.71	Professional	26	$65.08	$87.30	$124.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.70 / $150.49 / $318.11	Professional	TC	$99.70	$150.49	$318.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.66 / $121.66 / $121.66	Facility	26	$121.66	$121.66	$121.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $258.12 / $476.10	Professional		$146.86	$258.12	$476.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.58 / $80.95 / $135.53	Professional	26	$54.58	$80.95	$135.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.87 / $166.50 / $317.31	Professional	TC	$90.87	$166.50	$317.31
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $283.57 / $283.57 / $300.35	Professional		$283.57	$283.57	$300.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.26 / $252.91 / $490.00	Professional		$199.26	$252.91	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.16 / $97.93 / $223.80	Professional	26	$77.16	$97.93	$223.80
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $122.11 / $154.97 / $363.17	Professional	TC	$122.11	$154.97	$363.17
United Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $280.70 / $459.87	Professional		$198.72	$280.70	$459.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.69 / $109.20 / $212.19	Professional	26	$55.69	$109.20	$212.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.79 / $180.57 / $326.47	Professional	TC	$118.79	$180.57	$326.47