Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.19 / $110.41 / $110.41	Facility	26	$83.19	$110.41	$110.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.05 / $370.50 / $522.50	Professional		$268.05	$370.50	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.79 / $108.15 / $210.68	Professional	26	$82.79	$108.15	$210.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $189.09 / $259.35 / $368.50	Professional	TC	$189.09	$259.35	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.63 / $393.45 / $953.27	Professional		$302.63	$393.45	$953.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.11 / $120.60 / $174.38	Professional	26	$91.11	$120.60	$174.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $215.87 / $285.00 / $749.00	Professional	TC	$215.87	$285.00	$749.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.49 / $170.49 / $170.49	Facility	26	$170.49	$170.49	$170.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.35 / $521.34 / $972.39	Professional		$272.35	$521.34	$972.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.42 / $110.59 / $188.86	Professional	26	$76.42	$110.59	$188.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.74 / $384.14 / $778.98	Professional	TC	$191.74	$384.14	$778.98
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $521.50 / $521.50 / $555.74	Professional		$521.50	$521.50	$555.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.46 / $465.12 / $765.00	Professional		$366.46	$465.12	$765.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $108.15 / $137.26 / $313.32	Professional	26	$108.15	$137.26	$313.32
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $258.31 / $327.86 / $765.00	Professional	TC	$258.31	$327.86	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.47 / $550.57 / $940.80	Professional		$373.47	$550.57	$940.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.86 / $154.01 / $288.93	Professional	26	$79.86	$154.01	$288.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.81 / $407.44 / $668.53	Professional	TC	$228.81	$407.44	$668.53