Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.25 / $29.25 / $45.39	Facility	26	$29.25	$29.25	$45.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $93.94 / $170.70	Professional		$81.68	$93.94	$170.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $28.32 / $64.84	Professional	26	$19.89	$28.32	$64.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.97 / $69.95 / $117.35	Professional	TC	$56.97	$69.95	$117.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $144.97 / $210.11	Professional		$99.80	$144.97	$210.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.48 / $40.98 / $58.96	Professional	26	$29.48	$40.98	$58.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.56 / $103.91 / $151.13	Professional	TC	$69.56	$103.91	$151.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $108.98 / $204.64	Professional		$75.45	$108.98	$204.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.82 / $31.46 / $58.68	Professional	26	$20.82	$31.46	$58.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.29 / $78.17 / $138.25	Professional	TC	$54.29	$78.17	$138.25
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $179.32 / $191.27	Professional		$179.32	$179.32	$191.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $157.03 / $213.25	Professional		$126.01	$157.03	$213.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $45.13 / $61.29	Professional	26	$36.22	$45.13	$61.29
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $89.79 / $111.89 / $151.94	Professional	TC	$89.79	$111.89	$151.94
United Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $156.47 / $223.34	Professional		$85.84	$156.47	$223.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.11 / $44.49 / $72.26	Professional	26	$23.11	$44.49	$72.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.40 / $106.14 / $175.43	Professional	TC	$62.40	$106.14	$175.43