Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.35 / $61.35 / $79.40	Facility	26	$61.35	$61.35	$79.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $223.90 / $275.00	Professional		$137.72	$223.90	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $60.32 / $102.91	Professional	26	$51.28	$60.32	$102.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.59 / $155.88 / $214.94	Professional	TC	$80.59	$155.88	$214.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $222.67 / $520.21	Professional		$141.07	$222.67	$520.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.92 / $80.66 / $115.80	Professional	26	$59.92	$80.66	$115.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.51 / $136.75 / $306.16	Professional	TC	$84.51	$136.75	$306.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.65 / $113.65 / $113.65	Facility	26	$113.65	$113.65	$113.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $243.44 / $493.73	Professional		$133.61	$243.44	$493.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.67 / $74.76 / $136.78	Professional	26	$50.67	$74.76	$136.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.75 / $155.44 / $325.00	Professional	TC	$79.75	$155.44	$325.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $257.48 / $257.48 / $272.62	Professional		$257.48	$257.48	$272.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $229.65 / $490.00	Professional		$180.93	$229.65	$490.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $71.20 / $90.39 / $207.75	Professional	26	$71.20	$90.39	$207.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $109.72 / $139.26 / $326.97	Professional	TC	$109.72	$139.26	$326.97
United Facility/Professional Professional Modifier Low / Median / High Price $180.60 / $248.59 / $402.00	Professional		$180.60	$248.59	$402.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.50 / $100.21 / $147.29	Professional	26	$51.50	$100.21	$147.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.79 / $161.25 / $282.32	Professional	TC	$92.79	$161.25	$282.32