Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.01 / $82.98 / $100.24	Facility	26	$81.01	$82.98	$100.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.37 / $402.08 / $629.85	Professional		$230.37	$402.08	$629.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.12 / $112.50 / $203.08	Professional	26	$64.12	$112.50	$203.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.31 / $281.63 / $375.20	Professional	TC	$165.31	$281.63	$375.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.38 / $386.20 / $817.83	Professional		$246.38	$386.20	$817.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.90 / $90.26 / $131.47	Professional	26	$67.90	$90.26	$131.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $343.65 / $406.17 / $677.62	Professional	50	$343.65	$406.17	$677.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $180.78 / $282.76 / $634.23	Professional	TC	$180.78	$282.76	$634.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.36 / $128.36 / $128.36	Facility	26	$128.36	$128.36	$128.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.62 / $458.14 / $857.47	Professional		$221.62	$458.14	$857.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.33 / $85.01 / $154.53	Professional	26	$57.33	$85.01	$154.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.84 / $354.89 / $692.26	Professional	TC	$162.84	$354.89	$692.26
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $421.87 / $421.87 / $450.64	Professional		$421.87	$421.87	$450.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.45 / $376.27 / $758.00	Professional		$296.45	$376.27	$758.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.00 / $102.81 / $235.05	Professional	26	$81.00	$102.81	$235.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $215.45 / $273.45 / $651.00	Professional	TC	$215.45	$273.45	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.63 / $471.25 / $845.29	Professional		$303.63	$471.25	$845.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.25 / $113.05 / $188.60	Professional	26	$58.25	$113.05	$188.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.84 / $363.87 / $622.60	Professional	TC	$243.84	$363.87	$622.60