Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.64 / $112.61 / $137.11	Facility	26	$94.64	$112.61	$137.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.29 / $360.81 / $547.46	Professional		$297.29	$360.81	$547.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.01 / $98.62 / $299.52	Professional	26	$81.01	$98.62	$299.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $216.29 / $260.57 / $415.80	Professional	TC	$216.29	$260.57	$415.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.86 / $395.10 / $1,054.69	Professional		$292.86	$395.10	$1,054.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.20 / $123.37 / $177.11	Professional	26	$92.20	$123.37	$177.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.12 / $296.07 / $777.14	Professional	TC	$198.12	$296.07	$777.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.81 / $173.81 / $173.81	Facility	26	$173.81	$173.81	$173.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $446.18 / $714.14	Professional		$291.45	$446.18	$714.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.38 / $110.23 / $200.23	Professional	26	$77.38	$110.23	$200.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.30 / $335.64 / $512.00	Professional	TC	$212.30	$335.64	$512.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $572.55 / $572.55 / $611.42	Professional		$572.55	$572.55	$611.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.34 / $495.18 / $680.88	Professional		$402.34	$495.18	$680.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.85 / $139.43 / $317.27	Professional	26	$109.85	$139.43	$317.27
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $292.50 / $371.25 / $551.25	Professional	TC	$292.50	$371.25	$551.25
United Facility/Professional Professional Modifier Low / Median / High Price $306.88 / $559.64 / $868.78	Professional		$306.88	$559.64	$868.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.02 / $154.22 / $233.68	Professional	26	$80.02	$154.22	$233.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.86 / $377.49 / $624.47	Professional	TC	$226.86	$377.49	$624.47