Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.56 / $80.56 / $82.53	Facility	26	$80.56	$80.56	$82.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.32 / $409.82 / $608.00	Professional		$233.32	$409.82	$608.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.12 / $112.50 / $167.67	Professional	26	$64.12	$112.50	$167.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.79 / $282.87 / $368.50	Professional	TC	$166.79	$282.87	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.09 / $373.67 / $820.09	Professional		$249.09	$373.67	$820.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $90.45 / $130.79	Professional	26	$66.84	$90.45	$130.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $184.02 / $285.00 / $644.91	Professional	TC	$184.02	$285.00	$644.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.36 / $128.36 / $128.36	Facility	26	$128.36	$128.36	$128.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.18 / $461.83 / $835.98	Professional		$224.18	$461.83	$835.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.92 / $81.40 / $153.72	Professional	26	$56.92	$81.40	$153.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.73 / $344.61 / $685.23	Professional	TC	$165.73	$344.61	$685.23
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $428.18 / $428.18 / $457.51	Professional		$428.18	$428.18	$457.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.89 / $381.89 / $758.00	Professional		$300.89	$381.89	$758.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $80.56 / $102.25 / $235.05	Professional	26	$80.56	$102.25	$235.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $220.32 / $279.64 / $657.78	Professional	TC	$220.32	$279.64	$657.78
United Facility/Professional Professional Modifier Low / Median / High Price $307.38 / $468.66 / $854.17	Professional		$307.38	$468.66	$854.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.25 / $112.46 / $187.61	Professional	26	$58.25	$112.46	$187.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.95 / $370.68 / $634.26	Professional	TC	$248.95	$370.68	$634.26