Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.34 / $89.50 / $108.11	Facility	26	$87.34	$89.50	$108.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.93 / $402.08 / $599.64	Professional		$202.93	$402.08	$599.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.89 / $112.50 / $227.82	Professional	26	$71.89	$112.50	$227.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.31 / $244.98 / $368.50	Professional	TC	$131.31	$244.98	$368.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $342.20 / $754.18	Professional		$215.20	$342.20	$754.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.12 / $98.45 / $142.37	Professional	26	$74.12	$98.45	$142.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.26 / $251.55 / $563.04	Professional	TC	$144.26	$251.55	$563.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.05 / $139.05 / $139.05	Facility	26	$139.05	$139.05	$139.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.53 / $425.23 / $807.27	Professional		$193.53	$425.23	$807.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.16 / $91.56 / $165.00	Professional	26	$62.16	$91.56	$165.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.86 / $296.62 / $641.25	Professional	TC	$129.86	$296.62	$641.25
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $369.78 / $369.78 / $392.92	Professional		$369.78	$369.78	$392.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $329.80 / $758.00	Professional		$259.83	$329.80	$758.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $87.35 / $110.86 / $254.87	Professional	26	$87.35	$110.86	$254.87
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $172.50 / $218.94 / $651.00	Professional	TC	$172.50	$218.94	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.17 / $432.01 / $739.19	Professional		$285.17	$432.01	$739.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $122.83 / $242.52	Professional	26	$63.16	$122.83	$242.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.96 / $292.11 / $496.67	Professional	TC	$195.96	$292.11	$496.67