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 / $480.46	Professional		$252.15	$385.88	$480.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.19 / $90.34 / $272.77	Professional	26	$76.19	$90.34	$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 / $364.89 / $923.46	Professional		$273.83	$364.89	$923.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.58 / $118.62 / $169.51	Professional	26	$88.58	$118.62	$169.51
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 $268.45 / $477.26 / $911.49	Professional		$268.45	$477.26	$911.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.31 / $107.95 / $180.90	Professional	26	$74.31	$107.95	$180.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.02 / $340.00 / $709.66	Professional	TC	$190.02	$340.00	$709.66
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 $366.96 / $528.57 / $886.88	Professional		$366.96	$528.57	$886.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.78 / $147.60 / $233.93	Professional	26	$75.78	$147.60	$233.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $254.93 / $399.31 / $671.70	Professional	TC	$254.93	$399.31	$671.70