Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.87 / $93.87 / $111.70	Facility	26	$93.87	$93.87	$111.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.33 / $392.47 / $482.32	Professional		$246.33	$392.47	$482.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.19 / $93.87 / $190.98	Professional	26	$80.19	$93.87	$190.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.94 / $310.24 / $386.24	Professional	TC	$163.94	$310.24	$386.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.45 / $369.81 / $871.08	Professional		$285.45	$369.81	$871.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.44 / $121.54 / $174.88	Professional	26	$88.44	$121.54	$174.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $272.00 / $662.73	Professional	TC	$190.00	$272.00	$662.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $171.78 / $171.78 / $171.78	Facility	26	$171.78	$171.78	$171.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $483.11 / $871.27	Professional		$293.52	$483.11	$871.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.00 / $109.42 / $190.30	Professional	26	$77.00	$109.42	$190.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.35 / $356.25 / $680.00	Professional	TC	$216.35	$356.25	$680.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $501.35 / $501.35 / $533.73	Professional		$501.35	$501.35	$533.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.30 / $439.02 / $636.85	Professional		$352.30	$439.02	$636.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $108.97 / $138.30 / $315.68	Professional	26	$108.97	$138.30	$315.68
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $243.35 / $308.60 / $525.00	Professional	TC	$243.35	$308.60	$525.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.89 / $558.32 / $894.88	Professional		$375.89	$558.32	$894.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.15 / $156.77 / $242.43	Professional	26	$81.15	$156.77	$242.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.65 / $391.30 / $730.18	Professional	TC	$236.65	$391.30	$730.18