Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.62 / $88.63 / $114.71	Facility	26	$88.62	$88.63	$114.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.11 / $475.00 / $825.00	Professional		$320.11	$475.00	$825.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.51 / $119.35 / $260.45	Professional	26	$70.51	$119.35	$260.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.83 / $335.00 / $500.05	Professional	TC	$252.83	$335.00	$500.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.96 / $532.79 / $1,272.02	Professional		$362.96	$532.79	$1,272.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.20 / $100.11 / $146.58	Professional	26	$75.20	$100.11	$146.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $286.49 / $413.17 / $1,021.42	Professional	TC	$286.49	$413.17	$1,021.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.37 / $140.37 / $140.37	Facility	26	$140.37	$140.37	$140.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.56 / $650.23 / $1,409.00	Professional		$326.56	$650.23	$1,409.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $99.79 / $180.62	Professional	26	$64.28	$99.79	$180.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.27 / $543.72 / $1,260.00	Professional	TC	$262.27	$543.72	$1,260.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $627.16 / $627.16 / $673.25	Professional		$627.16	$627.16	$673.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.71 / $559.37 / $925.10	Professional		$440.71	$559.37	$925.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $88.63 / $112.50 / $258.63	Professional	26	$88.63	$112.50	$258.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $352.08 / $446.87 / $825.00	Professional	TC	$352.08	$446.87	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.29 / $712.75 / $1,396.76	Professional		$491.29	$712.75	$1,396.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $124.64 / $208.44	Professional	26	$73.44	$124.64	$208.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $384.10 / $584.62 / $1,165.73	Professional	TC	$384.10	$584.62	$1,165.73