Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.48 / $110.36 / $110.36	Facility	26	$82.48	$110.36	$110.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.66 / $449.12 / $640.00	Professional		$328.66	$449.12	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.58 / $119.21 / $279.32	Professional	26	$82.58	$119.21	$279.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $248.48 / $335.00 / $485.57	Professional	TC	$248.48	$335.00	$485.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.43 / $480.87 / $1,169.98	Professional		$371.43	$480.87	$1,169.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.68 / $119.26 / $172.83	Professional	26	$90.68	$119.26	$172.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.00 / $369.78 / $897.76	Professional	TC	$285.00	$369.78	$897.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.78 / $169.78 / $169.78	Facility	26	$169.78	$169.78	$169.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.30 / $583.52 / $990.50	Professional		$334.30	$583.52	$990.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.83 / $112.16 / $194.07	Professional	26	$75.83	$112.16	$194.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.79 / $447.62 / $763.31	Professional	TC	$253.79	$447.62	$763.31
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $639.14 / $639.14 / $683.78	Professional		$639.14	$639.14	$683.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.12 / $570.04 / $825.00	Professional		$449.12	$570.04	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.22 / $136.09 / $310.92	Professional	26	$107.22	$136.09	$310.92
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $341.90 / $433.95 / $825.00	Professional	TC	$341.90	$433.95	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.40 / $646.89 / $1,077.31	Professional		$436.40	$646.89	$1,077.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $147.91 / $228.28	Professional	26	$77.61	$147.91	$228.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $347.88 / $508.08 / $798.05	Professional	TC	$347.88	$508.08	$798.05