Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.34 / $65.34 / $65.34	Facility	26	$58.34	$65.34	$65.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.69 / $253.06 / $383.66	Professional		$187.69	$253.06	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.19 / $64.14 / $92.28	Professional	26	$53.19	$64.14	$92.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.97 / $176.03 / $325.76	Professional	TC	$128.97	$176.03	$325.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.55 / $287.99 / $682.13	Professional		$216.55	$287.99	$682.13
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
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.82 / $232.33 / $509.65	Professional	TC	$155.82	$232.33	$509.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.01 / $121.01 / $121.01	Facility	26	$121.01	$121.01	$121.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $370.00 / $629.82	Professional		$194.83	$370.00	$629.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.97 / $79.50 / $134.06	Professional	26	$53.97	$79.50	$134.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.47 / $270.37 / $508.00	Professional	TC	$139.47	$270.37	$508.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $372.94 / $372.94 / $397.71	Professional		$372.94	$372.94	$397.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.07 / $332.62 / $490.00	Professional		$262.07	$332.62	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.84 / $96.26 / $221.25	Professional	26	$75.84	$96.26	$221.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $186.23 / $236.36 / $490.00	Professional	TC	$186.23	$236.36	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $407.37 / $684.00	Professional		$267.20	$407.37	$684.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.81 / $103.36 / $157.68	Professional	26	$54.81	$103.36	$157.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.08 / $300.64 / $504.54	Professional	TC	$177.08	$300.64	$504.54