Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.88 / $59.88 / $86.37	Facility	26	$59.88	$59.88	$86.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $279.43 / $414.92	Professional		$217.01	$279.43	$414.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.92 / $100.43	Professional	26	$50.07	$58.92	$100.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.16 / $217.46 / $314.79	Professional	TC	$164.16	$217.46	$314.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $294.45 / $772.87	Professional		$233.70	$294.45	$772.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.93 / $78.29 / $112.39	Professional	26	$58.93	$78.29	$112.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $172.75 / $238.26 / $595.66	Professional	TC	$172.75	$238.26	$595.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.98 / $110.98 / $110.98	Facility	26	$110.98	$110.98	$110.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.30 / $360.78 / $552.77	Professional		$220.30	$360.78	$552.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.45 / $72.95 / $133.55	Professional	26	$49.45	$72.95	$133.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.00 / $273.61 / $424.79	Professional	TC	$170.00	$273.61	$424.79
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $430.72 / $430.72 / $461.61	Professional		$430.72	$430.72	$461.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.67 / $377.17 / $523.85	Professional		$302.67	$377.17	$523.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.51 / $88.23 / $202.77	Professional	26	$69.51	$88.23	$202.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $233.16 / $295.93 / $490.00	Professional	TC	$233.16	$295.93	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $400.69 / $614.42	Professional		$248.85	$400.69	$614.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.28 / $97.07 / $191.22	Professional	26	$50.28	$97.07	$191.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.11 / $303.55 / $466.45	Professional	TC	$191.11	$303.55	$466.45