Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.40 / $129.40 / $159.90	Facility	26	$129.40	$129.40	$159.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.74 / $475.00 / $847.64	Professional		$349.74	$475.00	$847.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.00 / $140.00 / $356.19	Professional	26	$104.00	$140.00	$356.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.80 / $335.00 / $499.00	Professional	TC	$243.80	$335.00	$499.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.46 / $517.54 / $1,228.31	Professional		$373.46	$517.54	$1,228.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.63 / $143.11 / $208.44	Professional	26	$108.63	$143.11	$208.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.99 / $400.00 / $945.40	Professional	TC	$268.99	$400.00	$945.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $203.21 / $203.21 / $203.21	Facility	26	$203.21	$203.21	$203.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.98 / $615.00 / $1,345.82	Professional		$335.98	$615.00	$1,345.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $134.86 / $225.11	Professional	26	$91.31	$134.86	$225.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.75 / $480.37 / $1,067.49	Professional	TC	$242.75	$480.37	$1,067.49
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $641.84 / $641.84 / $684.44	Professional		$641.84	$641.84	$684.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.02 / $572.45 / $825.00	Professional		$451.02	$572.45	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $129.40 / $164.24 / $374.39	Professional	26	$129.40	$164.24	$374.39
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $321.62 / $408.21 / $825.00	Professional	TC	$321.62	$408.21	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.89 / $717.67 / $1,265.73	Professional		$420.89	$717.67	$1,265.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.89 / $179.34 / $285.18	Professional	26	$92.89	$179.34	$285.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $333.06 / $555.21 / $924.56	Professional	TC	$333.06	$555.21	$924.56