Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.37 / $75.02 / $75.02	Facility	26	$56.37	$75.02	$75.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $282.68 / $371.00	Professional		$170.71	$282.68	$371.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $61.64 / $120.79	Professional	26	$52.78	$61.64	$120.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.85 / $192.00 / $286.25	Professional	TC	$111.85	$192.00	$286.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.37 / $274.30 / $583.91	Professional		$185.37	$274.30	$583.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.19 / $82.56 / $118.52	Professional	26	$62.19	$82.56	$118.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.07 / $190.00 / $405.15	Professional	TC	$126.07	$190.00	$405.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.32 / $116.32 / $116.32	Facility	26	$116.32	$116.32	$116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $306.73 / $521.52	Professional		$166.71	$306.73	$521.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.14 / $74.34 / $126.22	Professional	26	$52.14	$74.34	$126.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.53 / $216.27 / $406.00	Professional	TC	$113.53	$216.27	$406.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $322.02 / $342.47	Professional		$322.02	$322.02	$342.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.29 / $287.22 / $490.00	Professional		$226.29	$287.22	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.28 / $93.01 / $213.76	Professional	26	$73.28	$93.01	$213.76
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $153.01 / $194.21 / $453.43	Professional	TC	$153.01	$194.21	$453.43
United Facility/Professional Professional Modifier Low / Median / High Price $229.01 / $334.50 / $578.57	Professional		$229.01	$334.50	$578.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.98 / $99.90 / $150.94	Professional	26	$52.98	$99.90	$150.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.78 / $243.84 / $427.78	Professional	TC	$144.78	$243.84	$427.78