Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.68 / $65.72 / $65.72	Facility	26	$58.68	$65.72	$65.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.04 / $228.07 / $371.00	Professional		$181.04	$228.07	$371.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $65.72 / $92.79	Professional	26	$51.59	$65.72	$92.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.91 / $289.80 / $686.40	Professional		$217.91	$289.80	$686.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.29 / $86.35 / $123.35	Professional	26	$64.29	$86.35	$123.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.32 / $120.32 / $120.32	Facility	26	$120.32	$120.32	$120.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $370.00 / $630.66	Professional		$196.11	$370.00	$630.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.28 / $80.01 / $134.04	Professional	26	$54.28	$80.01	$134.04
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $376.72 / $376.72 / $401.84	Professional		$376.72	$376.72	$401.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.72 / $335.99 / $490.00	Professional		$264.72	$335.99	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.28 / $96.82 / $222.54	Professional	26	$76.28	$96.82	$222.54
United Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $394.95 / $684.14	Professional		$258.72	$394.95	$684.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.09 / $107.18 / $209.86	Professional	26	$55.09	$107.18	$209.86