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 / $171.00	Facility	26	$138.34	$141.56	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.58 / $475.00 / $750.00	Professional		$330.58	$475.00	$750.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.70 / $140.00 / $371.20	Professional	26	$108.70	$140.00	$371.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.27 / $335.00 / $477.95	Professional	TC	$217.27	$335.00	$477.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.76 / $456.02 / $1,201.42	Professional		$350.76	$456.02	$1,201.42
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 $239.71 / $311.94 / $840.89	Professional	TC	$239.71	$311.94	$840.89
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 $315.54 / $610.00 / $1,373.76	Professional		$315.54	$610.00	$1,373.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.68 / $144.83 / $241.43	Professional	26	$97.68	$144.83	$241.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.94 / $445.29 / $1,042.81	Professional	TC	$213.94	$445.29	$1,042.81
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $604.15 / $604.15 / $642.26	Professional		$604.15	$604.15	$642.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.54 / $538.84 / $825.00	Professional		$424.54	$538.84	$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 $286.20 / $363.25 / $825.00	Professional	TC	$286.20	$363.25	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.81 / $671.46 / $1,204.40	Professional		$372.81	$671.46	$1,204.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.88 / $192.70 / $305.67	Professional	26	$99.88	$192.70	$305.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $292.79 / $477.82 / $825.48	Professional	TC	$292.79	$477.82	$825.48