Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.66 / $103.56 / $103.56	Facility	26	$79.66	$103.56	$103.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.44 / $370.50 / $522.50	Professional		$262.44	$370.50	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.20 / $111.15 / $257.60	Professional	26	$80.20	$111.15	$257.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $259.35 / $368.50	Professional	TC	$187.50	$259.35	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.85 / $433.50 / $931.92	Professional		$295.85	$433.50	$931.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.50 / $115.98 / $168.93	Professional	26	$87.50	$115.98	$168.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $211.81 / $326.05 / $742.31	Professional	TC	$211.81	$326.05	$742.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.13 / $165.13 / $165.13	Facility	26	$165.13	$165.13	$165.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.33 / $538.12 / $978.50	Professional		$266.33	$538.12	$978.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.40 / $108.61 / $188.80	Professional	26	$73.40	$108.61	$188.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.71 / $404.97 / $769.11	Professional	TC	$190.71	$404.97	$769.11
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $508.66 / $508.66 / $542.46	Professional		$508.66	$508.66	$542.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.44 / $453.67 / $765.00	Professional		$357.44	$453.67	$765.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $103.56 / $131.44 / $300.95	Professional	26	$103.56	$131.44	$300.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $253.88 / $322.23 / $757.11	Professional	TC	$253.88	$322.23	$757.11
United Facility/Professional Professional Modifier Low / Median / High Price $353.56 / $544.35 / $1,009.34	Professional		$353.56	$544.35	$1,009.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.11 / $145.60 / $284.10	Professional	26	$75.11	$145.60	$284.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $276.64 / $427.91 / $732.18	Professional	TC	$276.64	$427.91	$732.18