Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.00 / $72.00 / $93.50	Facility	26	$72.00	$72.00	$93.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $363.14 / $470.35	Professional		$237.50	$363.14	$470.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $72.00 / $214.77	Professional	26	$60.39	$72.00	$214.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.17 / $306.18 / $381.20	Professional	TC	$169.17	$306.18	$381.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.20 / $333.97 / $809.16	Professional		$257.20	$333.97	$809.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.86 / $94.42 / $135.55	Professional	26	$70.86	$94.42	$135.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $246.29 / $596.73	Professional	TC	$190.00	$246.29	$596.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.03 / $133.03 / $133.03	Facility	26	$133.03	$133.03	$133.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.08 / $419.10 / $720.56	Professional		$252.08	$419.10	$720.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.47 / $87.70 / $161.06	Professional	26	$59.47	$87.70	$161.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.44 / $317.99 / $593.03	Professional	TC	$192.44	$317.99	$593.03
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $465.22 / $465.22 / $497.63	Professional		$465.22	$465.22	$497.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.91 / $407.38 / $553.23	Professional		$326.91	$407.38	$553.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.56 / $106.06 / $243.84	Professional	26	$83.56	$106.06	$243.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $243.35 / $308.86 / $490.00	Professional	TC	$243.35	$308.86	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.55 / $453.28 / $708.25	Professional		$337.55	$453.28	$708.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.70 / $114.91 / $179.55	Professional	26	$60.70	$114.91	$179.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.97 / $346.83 / $528.70	Professional	TC	$251.97	$346.83	$528.70