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 $131.37 / $220.22 / $272.73	Professional		$131.37	$220.22	$272.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.39 / $51.45 / $114.54	Professional	26	$45.39	$51.45	$114.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.78 / $160.31 / $221.14	Professional	TC	$83.78	$160.31	$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 / $326.32	Professional	TC	$93.19	$139.87	$326.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.61 / $95.61 / $95.61	Facility	26	$95.61	$95.61	$95.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $242.62 / $484.00	Professional		$126.98	$242.62	$484.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $63.17 / $114.93	Professional	26	$42.48	$63.17	$114.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.82 / $171.27 / $340.00	Professional	TC	$83.82	$171.27	$340.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $245.53 / $245.53 / $260.92	Professional		$245.53	$245.53	$260.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $218.99 / $490.00	Professional		$172.54	$218.99	$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 $112.81 / $143.19 / $334.72	Professional	TC	$112.81	$143.19	$334.72
United Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $268.72 / $510.66	Professional		$183.96	$268.72	$510.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $82.37 / $128.13	Professional	26	$47.03	$82.37	$128.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.31 / $192.28 / $330.14	Professional	TC	$124.31	$192.28	$330.14