Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.67 / $97.67 / $97.67	Facility	26	$97.67	$97.67	$97.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $475.00 / $783.77	Professional		$308.08	$475.00	$783.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.01 / $119.21 / $174.90	Professional	26	$75.01	$119.21	$174.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $235.81 / $318.97 / $453.21	Professional	TC	$235.81	$318.97	$453.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.88 / $450.73 / $1,092.05	Professional		$341.88	$450.73	$1,092.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.64 / $108.50 / $158.03	Professional	26	$80.64	$108.50	$158.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $261.73 / $349.56 / $844.39	Professional	TC	$261.73	$349.56	$844.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.10 / $155.10 / $155.10	Facility	26	$155.10	$155.10	$155.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.12 / $550.62 / $960.79	Professional		$312.12	$550.62	$960.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.20 / $102.56 / $180.00	Professional	26	$69.20	$102.56	$180.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.30 / $428.98 / $761.00	Professional	TC	$241.30	$428.98	$761.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $592.91 / $635.23	Professional		$592.91	$592.91	$635.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.64 / $528.80 / $765.00	Professional		$416.64	$528.80	$765.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.67 / $123.96 / $283.72	Professional	26	$97.67	$123.96	$283.72
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $318.97 / $404.84 / $765.00	Professional	TC	$318.97	$404.84	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.75 / $628.90 / $1,018.05	Professional		$383.75	$628.90	$1,018.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.20 / $134.56 / $209.33	Professional	26	$70.20	$134.56	$209.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $319.58 / $487.38 / $827.95	Professional	TC	$319.58	$487.38	$827.95