Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.79 / $87.79 / $89.94	Facility	26	$87.79	$87.79	$89.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.44 / $450.76 / $649.03	Professional		$287.44	$450.76	$649.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $119.21 / $227.82	Professional	26	$69.48	$119.21	$227.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.52 / $330.92 / $499.00	Professional	TC	$212.52	$330.92	$499.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.35 / $416.36 / $993.84	Professional		$315.35	$416.36	$993.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.51 / $98.45 / $142.37	Professional	26	$72.51	$98.45	$142.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.28 / $329.33 / $795.04	Professional	TC	$229.28	$329.33	$795.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.37 / $138.37 / $138.37	Facility	26	$138.37	$138.37	$138.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.48 / $560.91 / $1,000.00	Professional		$337.48	$560.91	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.16 / $91.68 / $165.00	Professional	26	$62.16	$91.68	$165.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $272.54 / $440.62 / $790.30	Professional	TC	$272.54	$440.62	$790.30
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $595.85 / $595.85 / $639.41	Professional		$595.85	$595.85	$639.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.70 / $525.95 / $758.00	Professional		$418.70	$525.95	$758.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $87.79 / $111.42 / $254.87	Professional	26	$87.79	$111.42	$254.87
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $330.93 / $412.39 / $758.00	Professional	TC	$330.93	$412.39	$758.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.63 / $644.41 / $1,052.71	Professional		$416.63	$644.41	$1,052.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.85 / $122.83 / $193.86	Professional	26	$62.85	$122.83	$193.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $360.46 / $531.29 / $896.59	Professional	TC	$360.46	$531.29	$896.59