Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.96 / $107.75 / $131.29	Facility	26	$89.96	$107.75	$131.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $213.75 / $351.54	Professional		$180.99	$213.75	$351.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $94.71 / $272.77	Professional	26	$72.87	$94.71	$272.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.05 / $136.56 / $197.08	Professional	TC	$103.05	$136.56	$197.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $250.22 / $625.54	Professional		$198.59	$250.22	$625.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.07 / $118.15 / $169.61	Professional	26	$86.07	$118.15	$169.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.83 / $143.88 / $359.74	Professional	TC	$112.83	$143.88	$359.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.79 / $165.79 / $165.79	Facility	26	$165.79	$165.79	$165.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.17 / $282.52 / $473.99	Professional		$177.17	$282.52	$473.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.02 / $103.78 / $183.67	Professional	26	$74.02	$103.78	$183.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.50 / $159.96 / $274.47	Professional	TC	$102.50	$159.96	$274.47
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $346.21 / $346.21 / $365.32	Professional		$346.21	$346.21	$365.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $303.17 / $525.00	Professional		$243.28	$303.17	$525.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $104.43 / $130.13 / $303.47	Professional	26	$104.43	$130.13	$303.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $138.84 / $173.02 / $412.03	Professional	TC	$138.84	$173.02	$412.03
United Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $333.22 / $502.32	Professional		$195.28	$333.22	$502.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.34 / $148.19 / $216.89	Professional	26	$76.34	$148.19	$216.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.94 / $187.03 / $285.43	Professional	TC	$118.94	$187.03	$285.43