Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.40 / $110.79 / $110.79	Facility	26	$107.40	$110.79	$110.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.51 / $475.00 / $725.00	Professional		$342.51	$475.00	$725.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.41 / $130.68 / $288.77	Professional	26	$83.41	$130.68	$288.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $255.30 / $335.00 / $495.06	Professional	TC	$255.30	$335.00	$495.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.70 / $474.20 / $1,158.23	Professional		$367.70	$474.20	$1,158.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.74 / $119.73 / $173.51	Professional	26	$90.74	$119.73	$173.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.60 / $362.64 / $883.89	Professional	TC	$280.60	$362.64	$883.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.75 / $169.75 / $169.75	Facility	26	$169.75	$169.75	$169.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.76 / $587.83 / $998.15	Professional		$330.76	$587.83	$998.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.13 / $112.60 / $194.17	Professional	26	$76.13	$112.60	$194.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.52 / $447.62 / $751.93	Professional	TC	$250.52	$447.62	$751.93
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $631.80 / $631.80 / $676.16	Professional		$631.80	$631.80	$676.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.98 / $563.51 / $825.00	Professional		$443.98	$563.51	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.39 / $136.31 / $312.14	Professional	26	$107.39	$136.31	$312.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $336.58 / $427.20 / $825.00	Professional	TC	$336.58	$427.20	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.82 / $643.72 / $1,023.59	Professional		$443.82	$643.72	$1,023.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.79 / $147.32 / $229.18	Professional	26	$77.79	$147.32	$229.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $342.67 / $491.65 / $812.38	Professional	TC	$342.67	$491.65	$812.38