Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.56 / $97.56 / $139.69	Facility	26	$97.56	$97.56	$139.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.66 / $392.31 / $482.09	Professional		$249.66	$392.31	$482.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.39 / $96.23 / $198.71	Professional	26	$82.39	$96.23	$198.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.94 / $309.93 / $385.85	Professional	TC	$163.94	$309.93	$385.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.93 / $375.00 / $881.75	Professional		$279.93	$375.00	$881.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.82 / $125.34 / $182.56	Professional	26	$90.82	$125.34	$182.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $402.77 / $525.30 / $603.54	Professional	50	$402.77	$525.30	$603.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.54 / $283.25 / $662.73	Professional	TC	$198.54	$283.25	$662.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.14 / $179.14 / $179.14	Facility	26	$179.14	$179.14	$179.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.87 / $504.86 / $882.84	Professional		$312.87	$504.86	$882.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.65 / $115.39 / $194.04	Professional	26	$79.65	$115.39	$194.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.02 / $375.44 / $665.81	Professional	TC	$230.02	$375.44	$665.81
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $507.31 / $507.31 / $539.54	Professional		$507.31	$507.31	$539.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.49 / $444.24 / $644.41	Professional		$356.49	$444.24	$644.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $113.24 / $143.72 / $328.19	Professional	26	$113.24	$143.72	$328.19
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $243.26 / $308.75 / $525.00	Professional	TC	$243.26	$308.75	$525.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.06 / $591.88 / $902.25	Professional		$383.06	$591.88	$902.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.17 / $157.44 / $233.59	Professional	26	$82.17	$157.44	$233.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $274.58 / $435.21 / $692.38	Professional	TC	$274.58	$435.21	$692.38