Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.78 / $25.78 / $37.24	Facility	26	$25.78	$25.78	$37.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $111.93 / $206.56	Professional		$82.81	$111.93	$206.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $25.87 / $86.11	Professional	26	$22.87	$25.87	$86.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $89.09 / $167.75	Professional	TC	$59.92	$89.09	$167.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $185.67 / $269.08	Professional		$124.99	$185.67	$269.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $36.06 / $51.55	Professional	26	$27.12	$36.06	$51.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.30 / $149.58 / $217.57	Professional	TC	$95.30	$149.58	$217.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $134.68 / $255.29	Professional		$76.95	$134.68	$255.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $33.49 / $57.71	Professional	26	$22.74	$33.49	$57.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.02 / $103.48 / $210.00	Professional	TC	$53.02	$103.48	$210.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $228.03 / $228.03 / $244.83	Professional		$228.03	$228.03	$244.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $199.68 / $271.17	Professional		$160.24	$199.68	$271.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.92 / $39.77 / $54.01	Professional	26	$31.92	$39.77	$54.01
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $128.31 / $159.88 / $217.14	Professional	TC	$128.31	$159.88	$217.14
United Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $201.69 / $325.18	Professional		$88.36	$201.69	$325.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.51 / $44.67 / $87.45	Professional	26	$26.51	$44.67	$87.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.02 / $161.24 / $258.95	Professional	TC	$61.02	$161.24	$258.95