Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.45 / $84.23 / $101.75	Facility	26	$81.45	$84.23	$101.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.51 / $323.11 / $642.44	Professional		$85.51	$323.11	$642.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.04 / $104.00 / $212.56	Professional	26	$65.04	$104.00	$212.56
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.81 / $135.56 / $201.04	Professional	52	$97.81	$135.56	$201.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.90 / $255.67 / $368.50	Professional	TC	$145.90	$255.67	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.97 / $321.87 / $777.94	Professional		$221.97	$321.87	$777.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.05 / $91.86 / $132.83	Professional	26	$69.05	$91.86	$132.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $309.20 / $369.03 / $581.10	Professional	50	$309.20	$369.03	$581.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.88 / $232.30 / $566.50	Professional	TC	$155.88	$232.30	$566.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.71 / $129.71 / $129.71	Facility	26	$129.71	$129.71	$129.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.84 / $409.46 / $811.00	Professional		$199.84	$409.46	$811.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.96 / $85.51 / $157.04	Professional	26	$57.96	$85.51	$157.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.43 / $286.31 / $657.62	Professional	TC	$140.43	$286.31	$657.62
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $385.82 / $385.82 / $411.09	Professional		$385.82	$385.82	$411.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.12 / $344.11 / $758.00	Professional		$271.12	$344.11	$758.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.45 / $103.37 / $237.64	Professional	26	$81.45	$103.37	$237.64
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $189.67 / $240.74 / $651.00	Professional	TC	$189.67	$240.74	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $439.35 / $754.35	Professional		$278.20	$439.35	$754.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.25 / $112.59 / $191.94	Professional	26	$58.25	$112.59	$191.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.85 / $300.39 / $527.01	Professional	TC	$189.85	$300.39	$527.01