Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.26 / $84.76 / $128.75	Facility	26	$71.26	$84.76	$128.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.22 / $285.45 / $353.44	Professional		$185.22	$285.45	$353.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $71.27 / $224.36	Professional	26	$61.52	$71.27	$224.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.85 / $220.00 / $276.17	Professional	TC	$118.85	$220.00	$276.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.54 / $275.00 / $634.09	Professional		$200.54	$275.00	$634.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.14 / $93.95 / $134.30	Professional	26	$70.14	$93.95	$134.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.79 / $196.55 / $422.73	Professional	TC	$132.79	$196.55	$422.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.69 / $131.69 / $131.69	Facility	26	$131.69	$131.69	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.23 / $307.58 / $536.09	Professional		$181.23	$307.58	$536.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.87 / $86.82 / $145.90	Professional	26	$58.87	$86.82	$145.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.89 / $214.92 / $378.00	Professional	TC	$120.89	$214.92	$378.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $348.08 / $348.08 / $369.93	Professional		$348.08	$348.08	$369.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.60 / $310.45 / $490.00	Professional		$244.60	$310.45	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $104.99 / $241.36	Professional	26	$82.72	$104.99	$241.36
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $161.88 / $205.46 / $481.88	Professional	TC	$161.88	$205.46	$481.88
United Facility/Professional Professional Modifier Low / Median / High Price $239.40 / $345.59 / $632.16	Professional		$239.40	$345.59	$632.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.78 / $113.69 / $171.72	Professional	26	$59.78	$113.69	$171.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.81 / $236.19 / $402.79	Professional	TC	$160.81	$236.19	$402.79