Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.70 / $107.71 / $110.41	Facility	26	$107.70	$107.71	$110.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.37 / $402.08 / $604.09	Professional		$264.37	$402.08	$604.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.50 / $119.21 / $248.55	Professional	26	$82.50	$119.21	$248.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $269.55 / $385.24	Professional	TC	$187.50	$269.55	$385.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $386.40 / $936.19	Professional		$297.20	$386.40	$936.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.74 / $119.26 / $173.70	Professional	26	$90.74	$119.26	$173.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $210.79 / $280.33 / $663.98	Professional	TC	$210.79	$280.33	$663.98
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 $267.55 / $535.14 / $978.50	Professional		$267.55	$535.14	$978.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.11 / $112.79 / $190.50	Professional	26	$76.11	$112.79	$190.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.98 / $390.53 / $772.00	Professional	TC	$187.98	$390.53	$772.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $512.04 / $512.04 / $545.44	Professional		$512.04	$512.04	$545.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.81 / $456.69 / $765.00	Professional		$359.81	$456.69	$765.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.71 / $136.69 / $312.02	Professional	26	$107.71	$136.69	$312.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $252.11 / $319.98 / $754.53	Professional	TC	$252.11	$319.98	$754.53
United Facility/Professional Professional Modifier Low / Median / High Price $366.96 / $552.08 / $1,009.34	Professional		$366.96	$552.08	$1,009.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.26 / $149.75 / $238.66	Professional	26	$77.26	$149.75	$238.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.81 / $414.13 / $708.21	Professional	TC	$260.81	$414.13	$708.21