Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.17 / $92.16 / $92.16	Facility	26	$69.17	$92.16	$92.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $370.50 / $603.00	Professional		$250.00	$370.50	$603.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.16 / $107.99 / $199.38	Professional	26	$69.16	$107.99	$199.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.44 / $262.50 / $368.50	Professional	TC	$179.44	$262.50	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.10 / $418.77 / $926.20	Professional		$270.10	$418.77	$926.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.97 / $98.63 / $145.04	Professional	26	$73.97	$98.63	$145.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $197.57 / $314.17 / $692.42	Professional	TC	$197.57	$314.17	$692.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.07 / $143.07 / $143.07	Facility	26	$143.07	$143.07	$143.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.96 / $499.27 / $982.23	Professional		$242.96	$499.27	$982.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.84 / $78.95 / $165.21	Professional	26	$53.84	$78.95	$165.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.74 / $395.53 / $795.76	Professional	TC	$177.74	$395.53	$795.76
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $467.20 / $467.20 / $498.78	Professional		$467.20	$467.20	$498.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.30 / $416.69 / $825.00	Professional		$328.30	$416.69	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.92 / $114.13 / $262.39	Professional	26	$89.92	$114.13	$262.39
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $238.38 / $302.56 / $707.96	Professional	TC	$238.38	$302.56	$707.96
United Facility/Professional Professional Modifier Low / Median / High Price $355.69 / $509.89 / $893.86	Professional		$355.69	$509.89	$893.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.81 / $116.95 / $255.94	Professional	26	$51.81	$116.95	$255.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.20 / $392.77 / $749.10	Professional	TC	$263.20	$392.77	$749.10