Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.40 / $133.63 / $163.65	Facility	26	$132.40	$133.63	$163.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.94 / $475.00 / $747.87	Professional		$347.94	$475.00	$747.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.34 / $140.00 / $353.86	Professional	26	$104.34	$140.00	$353.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.54 / $335.00 / $499.00	Professional	TC	$239.54	$335.00	$499.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.43 / $526.40 / $1,245.42	Professional		$371.43	$526.40	$1,245.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.35 / $146.38 / $213.21	Professional	26	$111.35	$146.38	$213.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $264.29 / $395.41 / $929.96	Professional	TC	$264.29	$395.41	$929.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $209.25 / $209.25 / $209.25	Facility	26	$209.25	$209.25	$209.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.31 / $615.00 / $1,368.43	Professional		$334.31	$615.00	$1,368.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.45 / $138.65 / $231.81	Professional	26	$93.45	$138.65	$231.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.91 / $478.28 / $1,074.92	Professional	TC	$238.91	$478.28	$1,074.92
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $637.29 / $637.29 / $679.19	Professional		$637.29	$637.29	$679.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.82 / $568.39 / $825.00	Professional		$447.82	$568.39	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $132.41 / $168.05 / $383.17	Professional	26	$132.41	$168.05	$383.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $315.42 / $400.34 / $825.00	Professional	TC	$315.42	$400.34	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.48 / $728.71 / $1,281.32	Professional		$458.48	$728.71	$1,281.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.80 / $179.01 / $282.10	Professional	26	$97.80	$179.01	$282.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $336.78 / $537.61 / $919.88	Professional	TC	$336.78	$537.61	$919.88