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 / $181.31	Facility	26	$138.34	$141.56	$181.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.89 / $475.00 / $640.00	Professional		$331.89	$475.00	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.45 / $140.00 / $370.46	Professional	26	$109.45	$140.00	$370.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.58 / $335.00 / $409.09	Professional	TC	$218.58	$335.00	$409.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.11 / $457.78 / $1,109.13	Professional		$352.11	$457.78	$1,109.13
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 $241.15 / $311.11 / $845.64	Professional	TC	$241.15	$311.11	$845.64
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 $316.82 / $607.00 / $1,366.78	Professional		$316.82	$607.00	$1,366.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.68 / $142.46 / $251.07	Professional	26	$97.68	$142.46	$251.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.42 / $429.83 / $1,015.73	Professional	TC	$215.42	$429.83	$1,015.73
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $606.66 / $606.66 / $645.02	Professional		$606.66	$606.66	$645.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.31 / $541.08 / $825.00	Professional		$426.31	$541.08	$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 $287.98 / $365.51 / $825.00	Professional	TC	$287.98	$365.51	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.05 / $689.47 / $1,197.59	Professional		$395.05	$689.47	$1,197.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.76 / $197.05 / $295.57	Professional	26	$106.76	$197.05	$295.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.19 / $480.35 / $830.13	Professional	TC	$263.19	$480.35	$830.13