Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.17 / $64.27 / $81.02	Facility	26	$56.17	$64.27	$81.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $220.65 / $271.06	Professional		$133.91	$220.65	$271.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $54.56 / $124.55	Professional	26	$46.78	$54.56	$124.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.56 / $145.74 / $216.49	Professional	TC	$81.56	$145.74	$216.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $217.08 / $507.14	Professional		$144.66	$217.08	$507.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.31 / $73.02 / $105.58	Professional	26	$55.31	$73.02	$105.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.64 / $138.28 / $309.20	Professional	TC	$90.64	$138.28	$309.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.61 / $103.61 / $103.61	Facility	26	$103.61	$103.61	$103.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $242.88 / $469.00	Professional		$130.22	$242.88	$469.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $68.38 / $125.42	Professional	26	$46.39	$68.38	$125.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.69 / $157.21 / $340.00	Professional	TC	$80.69	$157.21	$340.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $251.45 / $251.45 / $266.64	Professional		$251.45	$251.45	$266.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $224.27 / $490.00	Professional		$176.70	$224.27	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $65.20 / $82.76 / $190.22	Professional	26	$65.20	$82.76	$190.22
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $111.49 / $141.50 / $330.85	Professional	TC	$111.49	$141.50	$330.85
United Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $245.41 / $451.20	Professional		$175.87	$245.41	$451.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.48 / $92.41 / $152.68	Professional	26	$47.48	$92.41	$152.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.10 / $165.80 / $258.14	Professional	TC	$107.10	$165.80	$258.14