Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.85 / $126.24 / $149.36	Facility	26	$103.85	$126.24	$149.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.50 / $434.02 / $586.17	Professional		$340.50	$434.02	$586.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.53 / $101.48 / $212.30	Professional	26	$84.53	$101.48	$212.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.52 / $320.77 / $431.44	Professional	TC	$240.52	$320.77	$431.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.42 / $430.87 / $1,181.72	Professional		$324.42	$430.87	$1,181.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.87 / $135.69 / $193.85	Professional	26	$98.87	$135.69	$193.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $231.20 / $301.50 / $877.48	Professional	TC	$231.20	$301.50	$877.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.51 / $190.51 / $190.51	Facility	26	$190.51	$190.51	$190.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $498.59 / $835.42	Professional		$327.02	$498.59	$835.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.26 / $120.96 / $213.07	Professional	26	$85.26	$120.96	$213.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.55 / $381.79 / $638.99	Professional	TC	$241.55	$381.79	$638.99
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $641.23 / $641.23 / $685.02	Professional		$641.23	$641.23	$685.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.59 / $554.58 / $762.54	Professional		$450.59	$554.58	$762.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $120.56 / $153.02 / $349.55	Professional	26	$120.56	$153.02	$349.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $330.03 / $418.89 / $621.98	Professional	TC	$330.03	$418.89	$621.98
United Facility/Professional Professional Modifier Low / Median / High Price $386.24 / $597.65 / $933.83	Professional		$386.24	$597.65	$933.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.60 / $168.08 / $270.89	Professional	26	$88.60	$168.08	$270.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $299.82 / $433.66 / $677.60	Professional	TC	$299.82	$433.66	$677.60