Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.60 / $134.43 / $162.40	Facility	26	$113.60	$134.43	$162.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.60 / $512.36 / $658.96	Professional		$364.60	$512.36	$658.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.06 / $113.61 / $321.30	Professional	26	$91.06	$113.61	$321.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $267.69 / $421.11 / $503.89	Professional	TC	$267.69	$421.11	$503.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $498.67 / $1,314.09	Professional		$375.00	$498.67	$1,314.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.85 / $145.91 / $211.47	Professional	26	$107.85	$145.91	$211.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $283.25 / $374.16 / $982.10	Professional	TC	$283.25	$374.16	$982.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $207.22 / $207.22 / $207.22	Facility	26	$207.22	$207.22	$207.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.36 / $594.15 / $1,034.10	Professional		$365.36	$594.15	$1,034.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.07 / $132.49 / $229.55	Professional	26	$93.07	$132.49	$229.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $272.08 / $443.84 / $830.43	Professional	TC	$272.08	$443.84	$830.43
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $720.83 / $720.83 / $769.93	Professional		$720.83	$720.83	$769.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $623.41 / $857.21	Professional		$490.00	$623.41	$857.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $131.87 / $167.38 / $381.58	Professional	26	$131.87	$167.38	$381.58
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $374.66 / $466.88 / $667.00	Professional	TC	$374.66	$466.88	$667.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.56 / $661.20 / $1,075.34	Professional		$452.56	$661.20	$1,075.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.04 / $184.08 / $307.18	Professional	26	$95.04	$184.08	$307.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $356.90 / $503.23 / $748.85	Professional	TC	$356.90	$503.23	$748.85