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 $197.42 / $425.38 / $607.00	Professional		$197.42	$425.38	$607.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.90 / $111.15 / $264.06	Professional	26	$70.90	$111.15	$264.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.85 / $262.50 / $368.50	Professional	TC	$124.85	$262.50	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.42 / $312.66 / $750.00	Professional		$208.42	$312.66	$750.00
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 / $187.84 / $532.64	Professional	TC	$136.57	$187.84	$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 / $403.39 / $846.00	Professional		$187.42	$403.39	$846.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $93.43 / $169.93	Professional	26	$63.08	$93.43	$169.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $122.15 / $253.43 / $660.21	Professional	TC	$122.15	$253.43	$660.21
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $360.90 / $383.12	Professional		$360.90	$360.90	$383.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $321.88 / $748.26	Professional		$253.60	$321.88	$748.26
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 $164.53 / $208.82 / $651.00	Professional	TC	$164.53	$208.82	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.73 / $409.50 / $712.38	Professional		$262.73	$409.50	$712.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.55 / $122.38 / $208.44	Professional	26	$66.55	$122.38	$208.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.57 / $271.69 / $466.37	Professional	TC	$166.57	$271.69	$466.37