Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.03 / $107.01 / $107.01	Facility	26	$106.03	$107.01	$107.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.94 / $402.08 / $648.49	Professional		$263.94	$402.08	$648.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.50 / $119.21 / $179.48	Professional	26	$82.50	$119.21	$179.48
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $128.96 / $180.23 / $250.96	Professional	52	$128.96	$180.23	$250.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $282.87 / $425.07	Professional	TC	$187.50	$282.87	$425.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $386.40 / $936.19	Professional		$297.20	$386.40	$936.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.39 / $120.13 / $173.70	Professional	26	$90.39	$120.13	$173.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $210.79 / $285.00 / $738.74	Professional	TC	$210.79	$285.00	$738.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.80 / $169.80 / $169.80	Facility	26	$169.80	$169.80	$169.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $520.10 / $978.50	Professional		$267.39	$520.10	$978.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.31 / $190.50	Professional	26	$75.86	$112.31	$190.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.13 / $386.84 / $772.00	Professional	TC	$188.13	$386.84	$772.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $512.95 / $512.95 / $546.82	Professional		$512.95	$512.95	$546.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.45 / $457.50 / $765.00	Professional		$360.45	$457.50	$765.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.02 / $135.83 / $311.02	Professional	26	$107.02	$135.83	$311.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $253.44 / $321.67 / $754.53	Professional	TC	$253.44	$321.67	$754.53
United Facility/Professional Professional Modifier Low / Median / High Price $352.58 / $550.77 / $968.36	Professional		$352.58	$550.77	$968.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.26 / $149.80 / $249.84	Professional	26	$77.26	$149.80	$249.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.54 / $411.27 / $653.12	Professional	TC	$244.54	$411.27	$653.12