Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.88 / $59.88 / $59.88	Facility	26	$59.88	$59.88	$59.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $272.22 / $371.00	Professional		$192.27	$272.22	$371.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.49 / $107.71	Professional	26	$50.07	$58.49	$107.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.11 / $200.48 / $279.64	Professional	TC	$141.11	$200.48	$279.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.03 / $278.39 / $696.01	Professional		$219.03	$278.39	$696.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.54 / $78.29 / $112.39	Professional	26	$58.54	$78.29	$112.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.10 / $214.57 / $519.87	Professional	TC	$163.10	$214.57	$519.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.98 / $110.98 / $110.98	Facility	26	$110.98	$110.98	$110.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $316.63 / $531.51	Professional		$198.90	$316.63	$531.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.45 / $72.95 / $122.95	Professional	26	$49.45	$72.95	$122.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.40 / $235.08 / $395.92	Professional	TC	$143.40	$235.08	$395.92
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $379.05 / $379.05 / $405.24	Professional		$379.05	$379.05	$405.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.36 / $338.07 / $490.00	Professional		$266.36	$338.07	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.51 / $88.23 / $202.77	Professional	26	$69.51	$88.23	$202.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $196.85 / $249.84 / $490.00	Professional	TC	$196.85	$249.84	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $371.17 / $633.71	Professional		$241.87	$371.17	$633.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.28 / $97.67 / $147.97	Professional	26	$50.28	$97.67	$147.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.75 / $271.13 / $417.74	Professional	TC	$181.75	$271.13	$417.74