Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.37 / $83.37 / $92.68	Facility	26	$83.37	$83.37	$92.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.13 / $340.04 / $418.50	Professional		$212.13	$340.04	$418.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $77.34 / $132.63	Professional	26	$62.17	$77.34	$132.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.19 / $220.48 / $345.93	Professional	TC	$140.19	$220.48	$345.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $322.25 / $763.26	Professional		$240.52	$322.25	$763.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.51 / $107.57 / $155.88	Professional	26	$79.51	$107.57	$155.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.47 / $240.00 / $517.73	Professional	TC	$162.47	$240.00	$517.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.75 / $153.75 / $153.75	Facility	26	$153.75	$153.75	$153.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.97 / $367.68 / $632.00	Professional		$217.97	$367.68	$632.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $93.97 / $162.72	Professional	26	$65.06	$93.97	$162.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.79 / $262.74 / $478.19	Professional	TC	$147.79	$262.74	$478.19
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $417.86 / $417.86 / $444.44	Professional		$417.86	$417.86	$444.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.63 / $372.69 / $508.21	Professional		$293.63	$372.69	$508.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $96.79 / $122.84 / $281.14	Professional	26	$96.79	$122.84	$281.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $196.85 / $249.84 / $490.00	Professional	TC	$196.85	$249.84	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $435.16 / $701.33	Professional		$296.27	$435.16	$701.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.55 / $133.38 / $198.67	Professional	26	$62.55	$133.38	$198.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.35 / $288.61 / $533.98	Professional	TC	$181.35	$288.61	$533.98