Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.59 / $64.61 / $92.77	Facility	26	$64.59	$64.61	$92.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.55 / $334.68 / $427.97	Professional		$196.55	$334.68	$427.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.88 / $64.61 / $119.17	Professional	26	$55.88	$64.61	$119.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.08 / $243.40 / $358.73	Professional	TC	$136.08	$243.40	$358.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.86 / $322.32 / $676.79	Professional		$214.86	$322.32	$676.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.09 / $84.46 / $121.25	Professional	26	$64.09	$84.46	$121.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.53 / $219.03 / $509.65	Professional	TC	$154.53	$219.03	$509.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.69 / $131.69 / $131.69	Facility	26	$131.69	$131.69	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $367.21 / $639.16	Professional		$193.33	$367.21	$639.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.18 / $79.47 / $143.55	Professional	26	$54.18	$79.47	$143.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.15 / $270.37 / $508.00	Professional	TC	$139.15	$270.37	$508.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $371.74 / $371.74 / $396.53	Professional		$371.74	$371.74	$396.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $331.55 / $490.00	Professional		$261.22	$331.55	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.00 / $95.19 / $217.78	Professional	26	$75.00	$95.19	$217.78
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $186.23 / $236.36 / $490.00	Professional	TC	$186.23	$236.36	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $395.93 / $694.39	Professional		$265.02	$395.93	$694.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.78 / $115.41 / $193.83	Professional	26	$59.78	$115.41	$193.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.95 / $299.20 / $499.41	Professional	TC	$196.95	$299.20	$499.41