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 $66.98 / $199.88 / $275.00	Professional		$66.98	$199.88	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.49 / $51.57 / $117.17	Professional	26	$44.49	$51.57	$117.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.46 / $147.47 / $221.14	Professional	TC	$83.46	$147.47	$221.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $210.98 / $492.89	Professional		$140.63	$210.98	$492.89
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 $194.32 / $234.61 / $356.38	Professional	50	$194.32	$234.61	$356.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.85 / $139.87 / $314.70	Professional	TC	$92.85	$139.87	$314.70
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 $126.66 / $245.76 / $454.30	Professional		$126.66	$245.76	$454.30
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 $83.50 / $166.68 / $320.39	Professional	TC	$83.50	$166.68	$320.39
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $245.53 / $245.53 / $260.92	Professional		$245.53	$245.53	$260.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $218.99 / $490.00	Professional		$172.54	$218.99	$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 $112.81 / $143.19 / $333.43	Professional	TC	$112.81	$143.19	$333.43
United Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $254.91 / $426.67	Professional		$168.32	$254.91	$426.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $84.37 / $165.57	Professional	26	$44.45	$84.37	$165.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.34 / $184.89 / $327.41	Professional	TC	$111.34	$184.89	$327.41