Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.70 / $65.70 / $94.37	Facility	26	$65.70	$65.70	$94.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.91 / $339.97 / $406.52	Professional		$229.91	$339.97	$406.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $65.16 / $161.90	Professional	26	$54.86	$65.16	$161.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.21 / $262.67 / $318.95	Professional	TC	$169.21	$262.67	$318.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.72 / $305.55 / $789.95	Professional		$238.72	$305.55	$789.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.72 / $86.35 / $123.97	Professional	26	$64.72	$86.35	$123.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.79 / $238.26 / $595.66	Professional	TC	$171.79	$238.26	$595.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.00 / $121.00 / $121.00	Facility	26	$121.00	$121.00	$121.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.18 / $367.01 / $593.76	Professional		$224.18	$367.01	$593.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.28 / $80.01 / $140.00	Professional	26	$54.28	$80.01	$140.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.29 / $273.36 / $444.81	Professional	TC	$169.29	$273.36	$444.81
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $437.84 / $437.84 / $468.53	Professional		$437.84	$437.84	$468.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.67 / $383.41 / $525.00	Professional		$307.67	$383.41	$525.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.28 / $96.82 / $222.54	Professional	26	$76.28	$96.82	$222.54
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $231.39 / $293.68 / $490.00	Professional	TC	$231.39	$293.68	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.07 / $417.59 / $614.88	Professional		$269.07	$417.59	$614.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.39 / $104.51 / $163.30	Professional	26	$55.39	$104.51	$163.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $216.30 / $302.25 / $464.65	Professional	TC	$216.30	$302.25	$464.65