Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.40 / $135.47 / $163.65	Facility	26	$132.40	$135.47	$163.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.58 / $475.00 / $640.00	Professional		$348.58	$475.00	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.17 / $140.00 / $330.06	Professional	26	$101.17	$140.00	$330.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.85 / $335.00 / $471.98	Professional	TC	$240.85	$335.00	$471.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.79 / $526.40 / $1,246.64	Professional		$372.79	$526.40	$1,246.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.35 / $146.38 / $213.21	Professional	26	$111.35	$146.38	$213.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.75 / $397.94 / $935.90	Professional	TC	$265.75	$397.94	$935.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $209.25 / $209.25 / $209.25	Facility	26	$209.25	$209.25	$209.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.59 / $615.00 / $1,370.29	Professional		$335.59	$615.00	$1,370.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.45 / $138.65 / $231.81	Professional	26	$93.45	$138.65	$231.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.19 / $479.72 / $1,076.77	Professional	TC	$240.19	$479.72	$1,076.77
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $639.82 / $639.82 / $681.93	Professional		$639.82	$639.82	$681.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.61 / $570.65 / $825.00	Professional		$449.61	$570.65	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $132.41 / $168.05 / $383.17	Professional	26	$132.41	$168.05	$383.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $317.20 / $402.60 / $825.00	Professional	TC	$317.20	$402.60	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.09 / $729.32 / $1,283.68	Professional		$437.09	$729.32	$1,283.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.80 / $184.55 / $301.02	Professional	26	$97.80	$184.55	$301.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $335.07 / $542.39 / $922.24	Professional	TC	$335.07	$542.39	$922.24