Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.03 / $34.03 / $34.03	Facility	26	$34.03	$34.03	$34.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $114.42 / $181.31	Professional		$91.32	$114.42	$181.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.20 / $34.03 / $70.59	Professional	26	$28.20	$34.03	$70.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.65 / $74.53 / $130.10	Professional	TC	$63.65	$74.53	$130.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $163.94 / $235.87	Professional		$113.34	$163.94	$235.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.28 / $47.11 / $67.78	Professional	26	$34.28	$47.11	$67.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.09 / $117.30 / $168.77	Professional	TC	$81.09	$117.30	$168.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $135.59 / $228.82	Professional		$98.26	$135.59	$228.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.70 / $43.68 / $73.02	Professional	26	$29.70	$43.68	$73.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.54 / $91.90 / $153.86	Professional	TC	$66.54	$91.90	$153.86
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $201.59 / $201.59 / $214.77	Professional		$201.59	$201.59	$214.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $176.53 / $239.73	Professional		$141.66	$176.53	$239.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.13 / $52.50 / $64.81	Professional	26	$42.13	$52.50	$64.81
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $99.53 / $124.03 / $155.00	Professional	TC	$99.53	$124.03	$155.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $176.69 / $275.06	Professional		$104.16	$176.69	$275.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.67 / $57.17 / $86.35	Professional	26	$35.67	$57.17	$86.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.65 / $122.73 / $195.25	Professional	TC	$74.65	$122.73	$195.25