Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.03 / $40.98 / $40.98	Facility	26	$39.03	$40.98	$40.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $114.22 / $180.35	Professional		$81.79	$114.22	$180.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.20 / $73.23 / $118.51	Professional	TC	$52.20	$73.23	$118.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $160.16 / $244.42	Professional		$117.53	$160.16	$244.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.56 / $104.11 / $161.33	Professional	TC	$75.56	$104.11	$161.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.41 / $53.41 / $77.53	Facility	26	$53.41	$53.41	$77.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.16 / $154.50 / $301.29	Professional		$96.16	$154.50	$301.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.34 / $95.33 / $177.60	Professional	TC	$58.34	$95.33	$177.60
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $201.24 / $213.62	Professional		$201.24	$201.24	$213.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $176.22 / $239.32	Professional		$141.41	$176.22	$239.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.74 / $63.23 / $85.87	Professional	26	$50.74	$63.23	$85.87
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $90.68 / $113.00 / $153.44	Professional	TC	$90.68	$113.00	$153.44
United Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $176.34 / $273.56	Professional		$123.00	$176.34	$273.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.08 / $105.50 / $172.37	Professional	TC	$73.08	$105.50	$172.37