Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.34 / $141.56 / $171.89	Facility	26	$138.34	$141.56	$171.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.24 / $475.00 / $800.43	Professional		$331.24	$475.00	$800.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.27 / $140.00 / $372.40	Professional	26	$109.27	$140.00	$372.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.93 / $335.00 / $475.61	Professional	TC	$217.93	$335.00	$475.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.43 / $456.90 / $1,106.99	Professional		$351.43	$456.90	$1,106.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.42 / $154.04 / $222.75	Professional	26	$116.42	$154.04	$222.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $240.44 / $310.72 / $843.26	Professional	TC	$240.44	$310.72	$843.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $217.26 / $217.26 / $217.26	Facility	26	$217.26	$217.26	$217.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.18 / $610.00 / $1,388.43	Professional		$316.18	$610.00	$1,388.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.68 / $144.83 / $250.37	Professional	26	$97.68	$144.83	$250.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.53 / $446.52 / $1,042.81	Professional	TC	$214.53	$446.52	$1,042.81
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $605.41 / $605.41 / $643.65	Professional		$605.41	$605.41	$643.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.43 / $539.96 / $825.00	Professional		$425.43	$539.96	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $138.33 / $175.58 / $400.48	Professional	26	$138.33	$175.58	$400.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $287.08 / $364.39 / $825.00	Professional	TC	$287.08	$364.39	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.19 / $689.63 / $1,205.56	Professional		$434.19	$689.63	$1,205.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.76 / $192.94 / $295.93	Professional	26	$106.76	$192.94	$295.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $293.66 / $479.17 / $827.81	Professional	TC	$293.66	$479.17	$827.81