Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.67 / $101.13 / $114.11	Facility	26	$97.67	$101.13	$114.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.37 / $475.00 / $711.25	Professional		$322.37	$475.00	$711.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.31 / $119.21 / $208.60	Professional	26	$78.31	$119.21	$208.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $241.83 / $335.00 / $450.05	Professional	TC	$241.83	$335.00	$450.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.88 / $444.95 / $1,090.98	Professional		$341.88	$444.95	$1,090.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.00 / $108.50 / $158.03	Professional	26	$81.00	$108.50	$158.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $261.02 / $344.02 / $843.32	Professional	TC	$261.02	$344.02	$843.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.10 / $155.10 / $155.10	Facility	26	$155.10	$155.10	$155.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $547.54 / $957.15	Professional		$311.80	$547.54	$957.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.52 / $102.56 / $180.00	Professional	26	$69.52	$102.56	$180.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.49 / $428.41 / $761.00	Professional	TC	$240.49	$428.41	$761.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $589.76 / $589.76 / $631.79	Professional		$589.76	$589.76	$631.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.43 / $526.00 / $765.00	Professional		$414.43	$526.00	$765.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.67 / $123.96 / $285.02	Professional	26	$97.67	$123.96	$285.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $316.76 / $402.04 / $765.00	Professional	TC	$316.76	$402.04	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.81 / $617.40 / $1,199.72	Professional		$419.81	$617.40	$1,199.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.02 / $134.57 / $216.21	Professional	26	$69.02	$134.57	$216.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $329.85 / $478.38 / $819.12	Professional	TC	$329.85	$478.38	$819.12