Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.90 / $141.56 / $171.00	Facility	26	$137.90	$141.56	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.19 / $475.00 / $831.76	Professional		$309.19	$475.00	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.76 / $149.72 / $380.65	Professional	26	$110.76	$149.72	$380.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $152.25 / $201.04 / $295.27	Professional	52	$152.25	$201.04	$295.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $216.62 / $335.00 / $457.92	Professional	TC	$216.62	$335.00	$457.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.40 / $490.85 / $1,217.92	Professional		$349.40	$490.85	$1,217.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.15 / $154.04 / $222.75	Professional	26	$116.15	$154.04	$222.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $238.92 / $310.62 / $837.32	Professional	TC	$238.92	$310.62	$837.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $217.26 / $217.26 / $217.26	Facility	26	$217.26	$217.26	$217.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $610.00 / $1,373.76	Professional		$314.58	$610.00	$1,373.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.36 / $144.33 / $251.20	Professional	26	$97.36	$144.33	$251.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.47 / $440.36 / $1,046.32	Professional	TC	$212.47	$440.36	$1,046.32
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $603.53 / $603.53 / $641.58	Professional		$603.53	$603.53	$641.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.10 / $538.28 / $825.00	Professional		$424.10	$538.28	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $137.88 / $175.02 / $399.18	Professional	26	$137.88	$175.02	$399.18
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $286.20 / $363.25 / $825.00	Professional	TC	$286.20	$363.25	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.42 / $685.68 / $1,197.39	Professional		$421.42	$685.68	$1,197.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.70 / $187.66 / $293.23	Professional	26	$99.70	$187.66	$293.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $301.86 / $475.81 / $818.47	Professional	TC	$301.86	$475.81	$818.47