Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.45 / $62.45 / $62.45	Facility	26	$62.45	$62.45	$62.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.99 / $300.99 / $412.79	Professional		$185.99	$300.99	$412.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.21 / $88.36	Professional	26	$51.30	$61.21	$88.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.72 / $223.13 / $337.38	Professional	TC	$131.72	$223.13	$337.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.50 / $292.07 / $672.52	Professional		$213.50	$292.07	$672.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $82.08 / $117.84	Professional	26	$61.52	$82.08	$117.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.87 / $232.33 / $520.04	Professional	TC	$154.87	$232.33	$520.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.65 / $115.65 / $115.65	Facility	26	$115.65	$115.65	$115.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.09 / $364.14 / $621.50	Professional		$192.09	$364.14	$621.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.58 / $73.88 / $125.47	Professional	26	$51.58	$73.88	$125.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.47 / $275.83 / $489.00	Professional	TC	$139.47	$275.83	$489.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $370.06 / $370.06 / $395.09	Professional		$370.06	$370.06	$395.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.04 / $330.05 / $490.00	Professional		$260.04	$330.05	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.48 / $92.00 / $211.47	Professional	26	$72.48	$92.00	$211.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $187.55 / $238.05 / $490.00	Professional	TC	$187.55	$238.05	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $383.53 / $651.49	Professional		$245.10	$383.53	$651.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.76 / $100.61 / $200.52	Professional	26	$52.76	$100.61	$200.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.12 / $306.77 / $541.79	Professional	TC	$208.12	$306.77	$541.79