Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.85 / $107.86 / $134.43	Facility	26	$107.85	$107.86	$134.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.80 / $475.00 / $825.00	Professional		$351.80	$475.00	$825.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.72 / $131.94 / $291.13	Professional	26	$85.72	$131.94	$291.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $501.95	Professional	TC	$259.35	$335.00	$501.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.68 / $532.79 / $1,331.41	Professional		$375.68	$532.79	$1,331.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.11 / $121.07 / $174.19	Professional	26	$91.11	$121.07	$174.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $287.91 / $416.02 / $1,026.17	Professional	TC	$287.91	$416.02	$1,026.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $171.13 / $171.13 / $171.13	Facility	26	$171.13	$171.13	$171.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.98 / $659.51 / $1,426.34	Professional		$341.98	$659.51	$1,426.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.45 / $113.17 / $198.00	Professional	26	$76.45	$113.17	$198.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.56 / $543.72 / $1,260.00	Professional	TC	$263.56	$543.72	$1,260.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $656.42 / $656.42 / $703.06	Professional		$656.42	$656.42	$703.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.27 / $585.45 / $928.95	Professional		$461.27	$585.45	$928.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.86 / $136.90 / $313.50	Professional	26	$107.86	$136.90	$313.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $353.41 / $448.55 / $825.00	Professional	TC	$353.41	$448.55	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.04 / $747.49 / $1,464.83	Professional		$513.04	$747.49	$1,464.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.87 / $150.60 / $230.98	Professional	26	$77.87	$150.60	$230.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $361.63 / $588.80 / $1,110.20	Professional	TC	$361.63	$588.80	$1,110.20