Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.18 / $136.18 / $139.01	Facility	26	$136.18	$136.18	$139.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $522.50 / $857.21	Professional		$402.08	$522.50	$857.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.06 / $140.00 / $339.80	Professional	26	$107.06	$140.00	$339.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $368.50 / $694.20	Professional	TC	$282.87	$368.50	$694.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.98 / $600.00 / $1,562.82	Professional		$484.98	$600.00	$1,562.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.72 / $151.06 / $220.02	Professional	26	$110.72	$151.06	$220.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $370.26 / $487.20 / $1,218.01	Professional	TC	$370.26	$487.20	$1,218.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $214.59 / $214.59 / $214.59	Facility	26	$214.59	$214.59	$214.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.89 / $758.12 / $1,550.61	Professional		$470.89	$758.12	$1,550.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.14 / $142.38 / $237.72	Professional	26	$96.14	$142.38	$237.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $372.44 / $630.33 / $1,238.07	Professional	TC	$372.44	$630.33	$1,238.07
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $888.91 / $888.91 / $952.97	Professional		$888.91	$888.91	$952.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.64 / $778.39 / $1,057.08	Professional		$624.64	$778.39	$1,057.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $136.18 / $172.84 / $394.20	Professional	26	$136.18	$172.84	$394.20
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $488.46 / $619.97 / $840.00	Professional	TC	$488.46	$619.97	$840.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.70 / $934.81 / $1,571.39	Professional		$643.70	$934.81	$1,571.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.30 / $188.21 / $301.02	Professional	26	$98.30	$188.21	$301.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $458.37 / $773.36 / $1,224.46	Professional	TC	$458.37	$773.36	$1,224.46