Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.13 / $110.78 / $110.78	Facility	26	$83.13	$110.78	$110.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $449.09 / $637.00	Professional		$326.86	$449.09	$637.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.96 / $119.21 / $155.27	Professional	26	$82.96	$119.21	$155.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.33 / $335.00 / $484.30	Professional	TC	$246.33	$335.00	$484.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.98 / $480.25 / $1,163.57	Professional		$356.98	$480.25	$1,163.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.11 / $119.73 / $173.51	Professional	26	$91.11	$119.73	$173.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $495.29 / $610.72 / $728.14	Professional	50	$495.29	$610.72	$728.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.52 / $367.46 / $890.29	Professional	TC	$263.52	$367.46	$890.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.43 / $170.43 / $170.43	Facility	26	$170.43	$170.43	$170.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.35 / $577.79 / $995.46	Professional		$332.35	$577.79	$995.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.37 / $113.04 / $195.00	Professional	26	$76.37	$113.04	$195.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.14 / $447.62 / $756.67	Professional	TC	$253.14	$447.62	$756.67
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $639.08 / $639.08 / $683.61	Professional		$639.08	$639.08	$683.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.09 / $569.99 / $825.00	Professional		$449.09	$569.99	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $108.07 / $137.16 / $313.10	Professional	26	$108.07	$137.16	$313.10
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $341.02 / $432.83 / $825.00	Professional	TC	$341.02	$432.83	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.26 / $645.10 / $1,020.02	Professional		$445.26	$645.10	$1,020.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.23 / $149.09 / $230.08	Professional	26	$78.23	$149.09	$230.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $344.84 / $493.90 / $796.22	Professional	TC	$344.84	$493.90	$796.22