Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.82 / $66.63 / $81.94	Facility	26	$55.82	$66.63	$81.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $221.75 / $293.98	Professional		$126.82	$221.75	$293.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.89 / $53.17 / $156.81	Professional	26	$46.89	$53.17	$156.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $63.41 / $76.13 / $109.05	Professional	52	$63.41	$76.13	$109.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.14 / $159.05 / $221.14	Professional	TC	$83.14	$159.05	$221.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.71 / $217.08 / $507.14	Professional		$144.71	$217.08	$507.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.96 / $73.06 / $104.38	Professional	26	$54.96	$73.06	$104.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.51 / $139.87 / $324.24	Professional	TC	$92.51	$139.87	$324.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.98 / $110.98 / $110.98	Facility	26	$110.98	$110.98	$110.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $253.64 / $463.26	Professional		$130.22	$253.64	$463.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.09 / $66.43 / $115.50	Professional	26	$46.09	$66.43	$115.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $166.97 / $340.00	Professional	TC	$83.18	$166.97	$340.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $251.49 / $251.49 / $266.73	Professional		$251.49	$251.49	$266.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.72 / $224.30 / $490.00	Professional		$176.72	$224.30	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.78 / $82.22 / $188.96	Professional	26	$64.78	$82.22	$188.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $111.93 / $142.07 / $332.14	Professional	TC	$111.93	$142.07	$332.14
United Facility/Professional Professional Modifier Low / Median / High Price $179.14 / $269.81 / $472.71	Professional		$179.14	$269.81	$472.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $94.70 / $191.22	Professional	26	$47.03	$94.70	$191.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.02 / $189.63 / $327.61	Professional	TC	$118.02	$189.63	$327.61