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 $123.05 / $218.10 / $273.13	Professional		$123.05	$218.10	$273.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.23 / $51.45 / $144.57	Professional	26	$45.23	$51.45	$144.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.46 / $159.68 / $221.14	Professional	TC	$83.46	$159.68	$221.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $210.47 / $491.70	Professional		$140.30	$210.47	$491.70
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 $92.51 / $139.87 / $324.24	Professional	TC	$92.51	$139.87	$324.24
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 $126.34 / $252.39 / $463.88	Professional		$126.34	$252.39	$463.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $63.25 / $112.50	Professional	26	$42.48	$63.25	$112.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $172.80 / $340.00	Professional	TC	$83.18	$172.80	$340.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $244.90 / $260.22	Professional		$244.90	$244.90	$260.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $218.43 / $490.00	Professional		$172.09	$218.43	$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 $112.37 / $142.63 / $332.14	Professional	TC	$112.37	$142.63	$332.14
United Facility/Professional Professional Modifier Low / Median / High Price $187.48 / $264.35 / $481.30	Professional		$187.48	$264.35	$481.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $83.88 / $134.08	Professional	26	$47.03	$83.88	$134.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.78 / $191.60 / $321.00	Professional	TC	$112.78	$191.60	$321.00