Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.82 / $55.82 / $80.48	Facility	26	$55.82	$55.82	$80.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $157.51 / $233.05	Professional		$134.40	$157.51	$233.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $54.53 / $86.80	Professional	26	$46.10	$54.53	$86.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.93 / $101.69 / $154.18	Professional	TC	$83.93	$101.69	$154.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $179.76 / $505.00	Professional		$134.82	$179.76	$505.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.19 / $72.02 / $104.38	Professional	26	$52.19	$72.02	$104.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.89 / $116.72 / $306.37	Professional	TC	$84.89	$116.72	$306.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $201.41 / $347.37	Professional		$131.44	$201.41	$347.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.52 / $62.56 / $112.14	Professional	26	$45.52	$62.56	$112.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.31 / $128.00 / $223.13	Professional	TC	$85.31	$128.00	$223.13
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $260.17 / $260.17 / $276.00	Professional		$260.17	$260.17	$276.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.82 / $227.82 / $309.39	Professional		$182.82	$227.82	$309.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.78 / $79.73 / $98.66	Professional	26	$64.78	$79.73	$98.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $118.04 / $145.28 / $179.78	Professional	TC	$118.04	$145.28	$179.78
United Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $254.04 / $381.24	Professional		$134.27	$254.04	$381.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.29 / $90.61 / $176.07	Professional	26	$46.29	$90.61	$176.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.98 / $165.71 / $253.74	Professional	TC	$87.98	$165.71	$253.74