Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.10 / $62.84 / $62.84	Facility	26	$56.10	$62.84	$62.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $282.33 / $433.59	Professional		$213.81	$282.33	$433.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.24 / $105.07	Professional	26	$51.30	$61.24	$105.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.68 / $212.31 / $362.21	Professional	TC	$157.68	$212.31	$362.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.96 / $315.08 / $782.47	Professional		$247.96	$315.08	$782.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.46 / $82.56 / $117.96	Professional	26	$61.46	$82.56	$117.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $189.44 / $246.29 / $596.73	Professional	TC	$189.44	$246.29	$596.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.65 / $115.65 / $115.65	Facility	26	$115.65	$115.65	$115.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.25 / $399.85 / $693.34	Professional		$243.25	$399.85	$693.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.58 / $76.56 / $140.01	Professional	26	$51.58	$76.56	$140.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.50 / $315.00 / $522.17	Professional	TC	$191.50	$315.00	$522.17
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $450.09 / $450.09 / $482.41	Professional		$450.09	$450.09	$482.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $400.95 / $535.24	Professional		$316.27	$400.95	$535.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.93 / $92.57 / $211.47	Professional	26	$72.93	$92.57	$211.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $243.35 / $308.86 / $490.00	Professional	TC	$243.35	$308.86	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.05 / $454.19 / $691.13	Professional		$302.05	$454.19	$691.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.73 / $100.35 / $156.10	Professional	26	$52.73	$100.35	$156.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.41 / $343.94 / $535.03	Professional	TC	$251.41	$343.94	$535.03