Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.66 / $106.85 / $106.85	Facility	26	$79.66	$106.85	$106.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.33 / $402.61 / $549.21	Professional		$295.33	$402.61	$549.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.91 / $111.15 / $154.00	Professional	26	$79.91	$111.15	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.91 / $299.04 / $385.24	Professional	TC	$218.91	$299.04	$385.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.15 / $444.39 / $1,052.55	Professional		$334.15	$444.39	$1,052.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.38 / $116.36 / $168.25	Professional	26	$85.38	$116.36	$168.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.83 / $356.00 / $865.92	Professional	TC	$249.83	$356.00	$865.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.13 / $165.13 / $165.13	Facility	26	$165.13	$165.13	$165.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.77 / $598.76 / $1,032.56	Professional		$300.77	$598.76	$1,032.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.40 / $108.61 / $188.00	Professional	26	$73.40	$108.61	$188.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.46 / $444.50 / $836.23	Professional	TC	$225.46	$444.50	$836.23
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $572.95 / $572.95 / $612.59	Professional		$572.95	$572.95	$612.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.61 / $511.01 / $765.00	Professional		$402.61	$511.01	$765.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $103.56 / $131.44 / $300.95	Professional	26	$103.56	$131.44	$300.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $299.04 / $379.55 / $765.00	Professional	TC	$299.04	$379.55	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $635.98 / $1,144.35	Professional		$396.00	$635.98	$1,144.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.11 / $145.60 / $221.95	Professional	26	$75.11	$145.60	$221.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $313.16 / $500.01 / $867.45	Professional	TC	$313.16	$500.01	$867.45