Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.84 / $132.83 / $160.46	Facility	26	$129.84	$132.83	$160.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.70 / $448.37 / $752.05	Professional		$329.70	$448.37	$752.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.88 / $140.00 / $347.79	Professional	26	$99.88	$140.00	$347.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.96 / $318.52 / $531.91	Professional	TC	$234.96	$318.52	$531.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.25 / $519.64 / $1,241.75	Professional		$368.25	$519.64	$1,241.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.25 / $143.58 / $209.12	Professional	26	$108.25	$143.58	$209.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $262.55 / $399.45 / $939.47	Professional	TC	$262.55	$399.45	$939.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $203.88 / $203.88 / $203.88	Facility	26	$203.88	$203.88	$203.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.70 / $615.00 / $1,365.05	Professional		$334.70	$615.00	$1,365.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.81 / $127.85 / $225.86	Professional	26	$90.81	$127.85	$225.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.15 / $503.69 / $1,134.81	Professional	TC	$241.15	$503.69	$1,134.81
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $680.32	Professional		$638.07	$638.07	$680.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.37 / $569.09 / $825.00	Professional		$448.37	$569.09	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $129.84 / $164.80 / $374.39	Professional	26	$129.84	$164.80	$374.39
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $318.52 / $404.28 / $825.00	Professional	TC	$318.52	$404.28	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.16 / $723.80 / $1,280.16	Professional		$461.16	$723.80	$1,280.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.95 / $174.96 / $285.81	Professional	26	$92.95	$174.96	$285.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $341.85 / $545.97 / $926.89	Professional	TC	$341.85	$545.97	$926.89