Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.79 / $89.94 / $108.65	Facility	26	$87.79	$89.94	$108.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.66 / $402.08 / $572.40	Professional		$236.66	$402.08	$572.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.81 / $119.21 / $228.94	Professional	26	$69.81	$119.21	$228.94
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $112.03 / $151.84 / $211.44	Professional	52	$112.03	$151.84	$211.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.60 / $282.87 / $375.20	Professional	TC	$166.60	$282.87	$375.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.14 / $380.00 / $839.65	Professional		$252.14	$380.00	$839.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.48 / $97.74 / $142.37	Professional	26	$73.48	$97.74	$142.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.13 / $285.00 / $635.41	Professional	TC	$181.13	$285.00	$635.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.05 / $139.05 / $139.05	Facility	26	$139.05	$139.05	$139.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.83 / $471.51 / $880.36	Professional		$226.83	$471.51	$880.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.48 / $92.06 / $165.00	Professional	26	$62.48	$92.06	$165.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.16 / $350.91 / $696.39	Professional	TC	$163.16	$350.91	$696.39
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $432.16 / $432.16 / $460.98	Professional		$432.16	$432.16	$460.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.68 / $385.44 / $758.00	Professional		$303.68	$385.44	$758.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $87.79 / $111.42 / $256.16	Professional	26	$87.79	$111.42	$256.16
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $215.89 / $274.02 / $651.00	Professional	TC	$215.89	$274.02	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.77 / $478.64 / $873.26	Professional		$320.77	$478.64	$873.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.85 / $123.34 / $242.52	Professional	26	$62.85	$123.34	$242.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.85 / $368.89 / $630.74	Professional	TC	$248.85	$368.89	$630.74