Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.07 / $91.28 / $112.58	Facility	26	$89.07	$91.28	$112.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $385.41 / $655.50	Professional		$206.72	$385.41	$655.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.09 / $124.04 / $246.84	Professional	26	$70.09	$124.04	$246.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $92.98 / $126.58 / $267.20	Professional	52	$92.98	$126.58	$267.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.09 / $259.35 / $368.50	Professional	TC	$126.09	$259.35	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.42 / $308.77 / $744.00	Professional		$208.42	$308.77	$744.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.20 / $99.87 / $144.41	Professional	26	$75.20	$99.87	$144.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $136.57 / $181.63 / $532.64	Professional	TC	$136.57	$181.63	$532.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.74 / $141.74 / $141.74	Facility	26	$141.74	$141.74	$141.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.42 / $386.77 / $830.00	Professional		$187.42	$386.77	$830.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $93.43 / $174.00	Professional	26	$63.08	$93.43	$174.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.82 / $252.17 / $643.00	Professional	TC	$121.82	$252.17	$643.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $360.27 / $360.27 / $382.43	Professional		$360.27	$360.27	$382.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $321.32 / $749.55	Professional		$253.16	$321.32	$749.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.08 / $113.06 / $258.63	Professional	26	$89.08	$113.06	$258.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $164.09 / $208.26 / $651.00	Professional	TC	$164.09	$208.26	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $404.67 / $705.63	Professional		$257.64	$404.67	$705.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.55 / $124.63 / $197.56	Professional	26	$66.55	$124.63	$197.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.57 / $278.61 / $466.37	Professional	TC	$166.57	$278.61	$466.37