Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.84 / $129.84 / $160.46	Facility	26	$129.84	$129.84	$160.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.09 / $475.00 / $853.77	Professional		$368.09	$475.00	$853.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.97 / $140.00 / $347.79	Professional	26	$101.97	$140.00	$347.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.91 / $335.00 / $636.92	Professional	TC	$268.91	$335.00	$636.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.53 / $553.82 / $1,345.05	Professional		$423.53	$553.82	$1,345.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.63 / $143.58 / $209.12	Professional	26	$108.63	$143.58	$209.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $317.73 / $420.91 / $1,017.32	Professional	TC	$317.73	$420.91	$1,017.32
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 $384.34 / $626.89 / $1,400.87	Professional		$384.34	$626.89	$1,400.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.63 / $135.31 / $225.86	Professional	26	$91.63	$135.31	$225.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $290.77 / $530.22 / $1,089.55	Professional	TC	$290.77	$530.22	$1,089.55
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $727.53 / $727.53 / $777.94	Professional		$727.53	$727.53	$777.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.24 / $648.88 / $865.17	Professional		$511.24	$648.88	$865.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $129.84 / $164.80 / $375.68	Professional	26	$129.84	$164.80	$375.68
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $381.41 / $484.09 / $825.00	Professional	TC	$381.41	$484.09	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.15 / $786.56 / $1,480.71	Professional		$526.15	$786.56	$1,480.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.20 / $179.52 / $300.18	Professional	26	$93.20	$179.52	$300.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $357.08 / $610.10 / $1,027.92	Professional	TC	$357.08	$610.10	$1,027.92