Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.45 / $61.77 / $76.86	Facility	26	$51.45	$61.77	$76.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $199.61 / $296.52	Professional		$135.06	$199.61	$296.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $51.45 / $156.68	Professional	26	$44.12	$51.45	$156.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.93 / $174.80 / $221.14	Professional	TC	$101.93	$174.80	$221.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.29 / $223.19 / $505.00	Professional		$160.29	$223.19	$505.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.77 / $66.90 / $96.04	Professional	26	$50.77	$66.90	$96.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $237.13 / $276.81 / $356.38	Professional	50	$237.13	$276.81	$356.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.51 / $167.66 / $354.41	Professional	TC	$112.51	$167.66	$354.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.61 / $95.61 / $95.61	Facility	26	$95.61	$95.61	$95.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $261.64 / $485.00	Professional		$159.32	$261.64	$485.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $62.71 / $114.93	Professional	26	$42.48	$62.71	$114.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.24 / $187.18 / $336.10	Professional	TC	$112.24	$187.18	$336.10
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $292.02 / $292.02 / $311.45	Professional		$292.02	$292.02	$311.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.21 / $260.45 / $490.00	Professional		$205.21	$260.45	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.72 / $75.80 / $174.17	Professional	26	$59.72	$75.80	$174.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $145.47 / $184.65 / $413.61	Professional	TC	$145.47	$184.65	$413.61
United Facility/Professional Professional Modifier Low / Median / High Price $197.32 / $297.20 / $453.83	Professional		$197.32	$297.20	$453.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $83.88 / $128.13	Professional	26	$44.45	$83.88	$128.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.40 / $214.96 / $327.41	Professional	TC	$144.40	$214.96	$327.41