Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.45 / $61.77 / $81.94	Facility	26	$51.45	$61.77	$81.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $220.81 / $275.00	Professional		$131.69	$220.81	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.72 / $51.59 / $173.33	Professional	26	$45.72	$51.59	$173.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.10 / $160.94 / $221.14	Professional	TC	$84.10	$160.94	$221.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $211.49 / $494.08	Professional		$140.97	$211.49	$494.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.77 / $66.90 / $98.38	Professional	26	$50.77	$66.90	$98.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.19 / $139.87 / $326.61	Professional	TC	$93.19	$139.87	$326.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.61 / $101.61 / $101.61	Facility	26	$101.61	$101.61	$101.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $248.46 / $471.00	Professional		$126.98	$248.46	$471.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $63.25 / $123.78	Professional	26	$42.48	$63.25	$123.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.82 / $173.45 / $340.00	Professional	TC	$83.82	$173.45	$340.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $246.16 / $246.16 / $261.61	Professional		$246.16	$246.16	$261.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $219.55 / $490.00	Professional		$172.98	$219.55	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.72 / $75.80 / $174.17	Professional	26	$59.72	$75.80	$174.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $113.26 / $143.75 / $336.01	Professional	TC	$113.26	$143.75	$336.01
United Facility/Professional Professional Modifier Low / Median / High Price $188.34 / $268.72 / $475.20	Professional		$188.34	$268.72	$475.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $84.05 / $132.53	Professional	26	$47.03	$84.05	$132.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.27 / $192.52 / $331.97	Professional	TC	$127.27	$192.52	$331.97