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 / $133.62	Facility	26	$89.07	$91.28	$133.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.92 / $370.50 / $642.44	Professional		$197.92	$370.50	$642.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.03 / $112.50 / $285.77	Professional	26	$71.03	$112.50	$285.77
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $92.68 / $127.03 / $201.04	Professional	52	$92.68	$127.03	$201.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.70 / $259.35 / $368.50	Professional	TC	$126.70	$259.35	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.10 / $309.14 / $744.00	Professional		$209.10	$309.14	$744.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.56 / $99.87 / $144.41	Professional	26	$75.56	$99.87	$144.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.25 / $182.53 / $535.28	Professional	TC	$137.25	$182.53	$535.28
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 $188.06 / $387.39 / $892.36	Professional		$188.06	$387.39	$892.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.40 / $93.43 / $172.54	Professional	26	$63.40	$93.43	$172.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $122.48 / $252.79 / $659.59	Professional	TC	$122.48	$252.79	$659.59
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $361.53 / $361.53 / $383.80	Professional		$361.53	$361.53	$383.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.05 / $322.44 / $752.17	Professional		$254.05	$322.44	$752.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.08 / $113.06 / $259.92	Professional	26	$89.08	$113.06	$259.92
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $164.97 / $209.39 / $651.00	Professional	TC	$164.97	$209.39	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.06 / $398.35 / $706.78	Professional		$261.06	$398.35	$706.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $121.84 / $198.24	Professional	26	$64.06	$121.84	$198.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.44 / $269.73 / $467.53	Professional	TC	$167.44	$269.73	$467.53