Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.45 / $83.78 / $114.95	Facility	26	$81.45	$83.78	$114.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $346.43 / $655.50	Professional		$179.37	$346.43	$655.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.40 / $115.21 / $302.30	Professional	26	$64.40	$115.21	$302.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.66 / $135.34 / $201.04	Professional	52	$97.66	$135.34	$201.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.15 / $262.50 / $368.50	Professional	TC	$144.15	$262.50	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.64 / $322.30 / $776.75	Professional		$221.64	$322.30	$776.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.05 / $91.39 / $132.15	Professional	26	$69.05	$91.39	$132.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $308.72 / $368.44 / $581.10	Professional	50	$308.72	$368.44	$581.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.88 / $232.30 / $566.50	Professional	TC	$155.88	$232.30	$566.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.71 / $129.71 / $129.71	Facility	26	$129.71	$129.71	$129.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $401.90 / $825.85	Professional		$199.52	$401.90	$825.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.50 / $83.36 / $156.22	Professional	26	$57.50	$83.36	$156.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.43 / $272.88 / $658.51	Professional	TC	$140.43	$272.88	$658.51
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $385.19 / $385.19 / $410.40	Professional		$385.19	$385.19	$410.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.67 / $343.55 / $758.00	Professional		$270.67	$343.55	$758.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.45 / $103.37 / $237.64	Professional	26	$81.45	$103.37	$237.64
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $189.23 / $240.17 / $651.00	Professional	TC	$189.23	$240.17	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $423.95 / $750.86	Professional		$257.60	$423.95	$750.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.25 / $113.64 / $190.30	Professional	26	$58.25	$113.64	$190.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.80 / $306.14 / $527.01	Professional	TC	$180.80	$306.14	$527.01