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 / $73.70	Facility	26	$71.64	$73.70	$73.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.31 / $370.50 / $564.79	Professional		$231.31	$370.50	$564.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $87.54 / $154.00	Professional	26	$57.00	$87.54	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.31 / $262.50 / $368.50	Professional	TC	$174.31	$262.50	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.10 / $392.66 / $876.52	Professional		$250.10	$392.66	$876.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.73 / $79.97 / $115.90	Professional	26	$60.73	$79.97	$115.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.71 / $305.55 / $673.42	Professional	TC	$192.71	$305.55	$673.42
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 $224.95 / $465.81 / $938.06	Professional		$224.95	$465.81	$938.06
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 $172.94 / $373.70 / $741.82	Professional	TC	$172.94	$373.70	$741.82
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $432.36 / $432.36 / $462.98	Professional		$432.36	$432.36	$462.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.82 / $385.62 / $825.00	Professional		$303.82	$385.62	$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 $232.18 / $294.69 / $688.55	Professional	TC	$232.18	$294.69	$688.55
United Facility/Professional Professional Modifier Low / Median / High Price $331.12 / $495.07 / $951.01	Professional		$331.12	$495.07	$951.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.81 / $98.16 / $153.38	Professional	26	$51.81	$98.16	$153.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.47 / $375.46 / $706.34	Professional	TC	$253.47	$375.46	$706.34