Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.59 / $90.82 / $109.71	Facility	26	$87.59	$90.82	$109.71
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.23 / $59.69 / $248.74	Facility	53	$52.23	$59.69	$248.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.32 / $402.08 / $689.65	Professional		$203.32	$402.08	$689.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.31 / $107.87 / $239.01	Professional	26	$70.31	$107.87	$239.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $95.61 / $130.57 / $201.04	Professional	52	$95.61	$130.57	$201.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.25 / $244.98 / $368.50	Professional	TC	$131.25	$244.98	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $311.01 / $750.62	Professional		$214.18	$311.01	$750.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.20 / $99.87 / $144.41	Professional	26	$75.20	$99.87	$144.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.66 / $200.43 / $556.42	Professional	TC	$142.66	$200.43	$556.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.05 / $141.05 / $141.05	Facility	26	$141.05	$141.05	$141.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.86 / $418.17 / $859.56	Professional		$192.86	$418.17	$859.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $92.93 / $177.00	Professional	26	$63.08	$92.93	$177.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.04 / $264.12 / $645.62	Professional	TC	$128.04	$264.12	$645.62
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $371.61 / $371.61 / $394.81	Professional		$371.61	$371.61	$394.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.13 / $331.44 / $758.00	Professional		$261.13	$331.44	$758.00
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 $172.50 / $218.94 / $651.00	Professional	TC	$172.50	$218.94	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $426.44 / $732.18	Professional		$265.02	$426.44	$732.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $124.89 / $199.04	Professional	26	$64.06	$124.89	$199.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.83 / $282.10 / $486.17	Professional	TC	$167.83	$282.10	$486.17