Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.25 / $73.84 / $87.53	Facility	26	$60.25	$73.84	$87.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $258.17 / $368.43	Professional		$129.09	$258.17	$368.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.15 / $61.02 / $207.20	Professional	26	$52.15	$61.02	$207.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.53 / $198.79 / $285.08	Professional	TC	$111.53	$198.79	$285.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.98 / $274.41 / $573.24	Professional		$181.98	$274.41	$573.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.29 / $79.23 / $114.35	Professional	26	$59.29	$79.23	$114.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.39 / $188.10 / $404.19	Professional	TC	$125.39	$188.10	$404.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.33 / $118.33 / $118.33	Facility	26	$118.33	$118.33	$118.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $307.12 / $541.00	Professional		$163.66	$307.12	$541.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.77 / $73.45 / $135.54	Professional	26	$49.77	$73.45	$135.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.89 / $215.68 / $406.00	Professional	TC	$112.89	$215.68	$406.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $316.04 / $316.04 / $336.48	Professional		$316.04	$316.04	$336.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.08 / $281.87 / $490.00	Professional		$222.08	$281.87	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.95 / $88.79 / $204.06	Professional	26	$69.95	$88.79	$204.06
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $152.13 / $193.08 / $452.14	Professional	TC	$152.13	$193.08	$452.14
United Facility/Professional Professional Modifier Low / Median / High Price $231.83 / $334.67 / $578.28	Professional		$231.83	$334.67	$578.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.65 / $95.82 / $154.35	Professional	26	$53.65	$95.82	$154.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.86 / $239.55 / $405.99	Professional	TC	$148.86	$239.55	$405.99