Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.82 / $109.91 / $109.91	Facility	26	$82.82	$109.91	$109.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.54 / $451.34 / $640.00	Professional		$326.54	$451.34	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.58 / $112.50 / $210.05	Professional	26	$82.58	$112.50	$210.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.87 / $335.00 / $488.08	Professional	TC	$247.87	$335.00	$488.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.11 / $479.69 / $1,172.10	Professional		$372.11	$479.69	$1,172.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.39 / $119.26 / $172.83	Professional	26	$90.39	$119.26	$172.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.00 / $368.99 / $899.90	Professional	TC	$285.00	$368.99	$899.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.10 / $169.10 / $169.10	Facility	26	$169.10	$169.10	$169.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.94 / $575.84 / $993.60	Professional		$334.94	$575.84	$993.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.83 / $109.67 / $183.78	Professional	26	$75.83	$109.67	$183.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.10 / $435.88 / $765.20	Professional	TC	$255.10	$435.88	$765.20
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $642.28 / $642.28 / $687.22	Professional		$642.28	$642.28	$687.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.33 / $572.85 / $825.00	Professional		$451.33	$572.85	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.67 / $136.65 / $310.92	Professional	26	$107.67	$136.65	$310.92
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $343.67 / $436.19 / $825.00	Professional	TC	$343.67	$436.19	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.48 / $666.29 / $1,229.29	Professional		$458.48	$666.29	$1,229.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $145.52 / $227.38	Professional	26	$77.61	$145.52	$227.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.76 / $483.70 / $944.02	Professional	TC	$316.76	$483.70	$944.02