Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.67 / $20.67 / $25.87	Facility	26	$20.67	$20.67	$25.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $86.40 / $166.90	Professional		$73.73	$86.40	$166.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $20.68 / $63.00	Professional	26	$17.07	$20.68	$63.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $65.69 / $135.65	Professional	TC	$55.57	$65.69	$135.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $146.04 / $210.11	Professional		$102.42	$146.04	$210.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.87 / $28.94 / $41.34	Professional	26	$20.87	$28.94	$41.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.31 / $116.45 / $168.77	Professional	TC	$81.31	$116.45	$168.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $105.94 / $189.12	Professional		$72.86	$105.94	$189.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.92 / $25.88 / $45.22	Professional	26	$17.92	$25.88	$45.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.30 / $83.89 / $149.53	Professional	TC	$54.30	$83.89	$149.53
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $184.24 / $184.24 / $197.77	Professional		$184.24	$184.24	$197.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $161.34 / $219.10	Professional		$129.47	$161.34	$219.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.60 / $31.90 / $43.32	Professional	26	$25.60	$31.90	$43.32
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $103.87 / $129.44 / $175.78	Professional	TC	$103.87	$129.44	$175.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $144.09 / $222.69	Professional		$81.87	$144.09	$222.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $34.06 / $53.23	Professional	26	$20.77	$34.06	$53.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.95 / $117.22 / $236.67	Professional	TC	$60.95	$117.22	$236.67