Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.64 / $73.70 / $89.02	Facility	26	$71.64	$73.70	$89.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $392.48 / $535.60	Professional		$222.03	$392.48	$535.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.12 / $113.02 / $181.21	Professional	26	$59.12	$113.02	$181.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.97 / $281.95 / $368.50	Professional	TC	$154.97	$281.95	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.55 / $347.29 / $829.01	Professional		$236.55	$347.29	$829.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.73 / $81.02 / $116.58	Professional	26	$60.73	$81.02	$116.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.60 / $282.76 / $625.91	Professional	TC	$178.60	$282.76	$625.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.32 / $114.32 / $114.32	Facility	26	$114.32	$114.32	$114.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.93 / $478.16 / $927.00	Professional		$212.93	$478.16	$927.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.97 / $75.20 / $139.36	Professional	26	$50.97	$75.20	$139.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.60 / $366.21 / $755.71	Professional	TC	$160.60	$366.21	$755.71
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $409.05 / $409.05 / $437.53	Professional		$409.05	$409.05	$437.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.44 / $364.83 / $825.00	Professional		$287.44	$364.83	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $71.64 / $90.93 / $209.00	Professional	26	$71.64	$90.93	$209.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $215.80 / $273.89 / $641.99	Professional	TC	$215.80	$273.89	$641.99
United Facility/Professional Professional Modifier Low / Median / High Price $319.27 / $470.17 / $873.45	Professional		$319.27	$470.17	$873.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.81 / $98.16 / $152.27	Professional	26	$51.81	$98.16	$152.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.59 / $354.34 / $694.38	Professional	TC	$234.59	$354.34	$694.38