Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.34 / $107.72 / $130.13	Facility	26	$90.34	$107.72	$130.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.15 / $385.88 / $503.67	Professional		$252.15	$385.88	$503.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.31 / $93.36 / $272.77	Professional	26	$80.31	$93.36	$272.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.13 / $310.24 / $386.24	Professional	TC	$169.13	$310.24	$386.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.83 / $364.62 / $922.78	Professional		$273.83	$364.62	$922.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.58 / $118.62 / $170.30	Professional	26	$88.58	$118.62	$170.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $272.00 / $662.73	Professional	TC	$190.00	$272.00	$662.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.46 / $166.46 / $166.46	Facility	26	$166.46	$166.46	$166.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.43 / $473.40 / $917.04	Professional		$269.43	$473.40	$917.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.31 / $108.00 / $184.40	Professional	26	$74.31	$108.00	$184.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.34 / $340.00 / $735.00	Professional	TC	$190.34	$340.00	$735.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $496.00 / $528.53	Professional		$496.00	$496.00	$528.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.54 / $434.34 / $630.05	Professional		$348.54	$434.34	$630.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $104.86 / $133.09 / $304.72	Professional	26	$104.86	$133.09	$304.72
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $243.70 / $309.05 / $525.00	Professional	TC	$243.70	$309.05	$525.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.91 / $529.22 / $886.88	Professional		$358.91	$529.22	$886.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.78 / $143.19 / $217.76	Professional	26	$75.78	$143.19	$217.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.04 / $396.15 / $684.40	Professional	TC	$233.04	$396.15	$684.40