Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.75 / $92.75 / $92.75	Facility	26	$92.75	$92.75	$92.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.01 / $316.99 / $477.42	Professional		$240.01	$316.99	$477.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.75 / $91.56 / $128.65	Professional	26	$74.75	$91.56	$128.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.38 / $220.00 / $385.85	Professional	TC	$157.38	$220.00	$385.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $368.24 / $867.87	Professional		$275.52	$368.24	$867.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.41 / $120.99 / $173.70	Professional	26	$87.41	$120.99	$173.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $272.00 / $648.98	Professional	TC	$190.00	$272.00	$648.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $171.14 / $171.14 / $171.14	Facility	26	$171.14	$171.14	$171.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.27 / $478.56 / $841.84	Professional		$292.27	$478.56	$841.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.06 / $110.86 / $189.58	Professional	26	$76.06	$110.86	$189.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.03 / $353.15 / $668.94	Professional	TC	$216.03	$353.15	$668.94
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $499.50 / $499.50 / $531.76	Professional		$499.50	$499.50	$531.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $437.40 / $634.50	Professional		$351.00	$437.40	$634.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.65 / $136.63 / $311.88	Professional	26	$107.65	$136.63	$311.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $243.35 / $308.60 / $525.00	Professional	TC	$243.35	$308.60	$525.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.46 / $526.63 / $856.50	Professional		$360.46	$526.63	$856.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.53 / $146.66 / $223.85	Professional	26	$78.53	$146.66	$223.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.44 / $390.64 / $640.19	Professional	TC	$275.44	$390.64	$640.19