Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.84 / $62.84 / $90.63	Facility	26	$62.84	$62.84	$90.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $282.06 / $371.00	Professional		$169.71	$282.06	$371.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $62.09 / $128.88	Professional	26	$52.78	$62.09	$128.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.21 / $215.99 / $285.48	Professional	TC	$111.21	$215.99	$285.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.36 / $273.51 / $580.72	Professional		$184.36	$273.51	$580.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $82.56 / $117.96	Professional	26	$61.52	$82.56	$117.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.18 / $190.00 / $404.19	Professional	TC	$126.18	$190.00	$404.19
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 $165.83 / $306.37 / $519.96	Professional		$165.83	$306.37	$519.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.89 / $76.56 / $128.87	Professional	26	$51.89	$76.56	$128.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.89 / $216.70 / $406.00	Professional	TC	$112.89	$216.70	$406.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $320.29 / $320.29 / $340.75	Professional		$320.29	$320.29	$340.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.07 / $285.66 / $490.00	Professional		$225.07	$285.66	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.93 / $92.57 / $212.77	Professional	26	$72.93	$92.57	$212.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $152.13 / $193.08 / $450.84	Professional	TC	$152.13	$193.08	$450.84
United Facility/Professional Professional Modifier Low / Median / High Price $236.93 / $334.07 / $557.77	Professional		$236.93	$334.07	$557.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.96 / $102.46 / $152.97	Professional	26	$52.96	$102.46	$152.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.75 / $245.68 / $440.68	Professional	TC	$158.75	$245.68	$440.68