Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.84 / $129.84 / $160.46	Facility	26	$129.84	$129.84	$160.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $495.82 / $745.15	Professional		$370.50	$495.82	$745.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.82 / $140.00 / $336.28	Professional	26	$102.82	$140.00	$336.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $368.50 / $577.83	Professional	TC	$282.87	$368.50	$577.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.01 / $572.17 / $1,430.45	Professional		$450.01	$572.17	$1,430.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.63 / $143.58 / $209.12	Professional	26	$108.63	$143.58	$209.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $343.28 / $451.83 / $1,102.72	Professional	TC	$343.28	$451.83	$1,102.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $203.88 / $203.88 / $203.88	Facility	26	$203.88	$203.88	$203.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.67 / $664.66 / $1,374.48	Professional		$408.67	$664.66	$1,374.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.63 / $135.47 / $226.61	Professional	26	$91.63	$135.47	$226.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $315.12 / $562.10 / $1,160.28	Professional	TC	$315.12	$562.10	$1,160.28
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $775.30 / $775.30 / $829.85	Professional		$775.30	$775.30	$829.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.79 / $691.48 / $921.98	Professional		$544.79	$691.48	$921.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $129.84 / $164.80 / $375.68	Professional	26	$129.84	$164.80	$375.68
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $414.96 / $526.67 / $825.00	Professional	TC	$414.96	$526.67	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.25 / $810.40 / $1,384.17	Professional		$570.25	$810.40	$1,384.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.20 / $176.32 / $286.12	Professional	26	$93.20	$176.32	$286.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $427.25 / $659.37 / $1,084.82	Professional	TC	$427.25	$659.37	$1,084.82