Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.24 / $39.24 / $59.81	Facility	26	$39.24	$39.24	$59.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $120.48 / $202.59	Professional		$93.90	$120.48	$202.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $39.24 / $97.85	Professional	26	$29.91	$39.24	$97.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.34 / $87.26 / $143.43	Professional	TC	$65.34	$87.26	$143.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $181.46 / $262.98	Professional		$124.26	$181.46	$262.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $54.17 / $77.94	Professional	26	$38.97	$54.17	$77.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.06 / $127.21 / $185.03	Professional	TC	$85.06	$127.21	$185.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $136.08 / $259.22	Professional		$92.78	$136.08	$259.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.07 / $45.35 / $79.50	Professional	26	$31.07	$45.35	$79.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $92.52 / $172.54	Professional	TC	$61.71	$92.52	$172.54
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $225.27 / $240.00	Professional		$225.27	$225.27	$240.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.30 / $197.27 / $267.89	Professional		$158.30	$197.27	$267.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.58 / $60.54 / $82.21	Professional	26	$48.58	$60.54	$82.21
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $109.72 / $136.72 / $185.68	Professional	TC	$109.72	$136.72	$185.68
United Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $195.74 / $288.14	Professional		$106.40	$195.74	$288.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.04 / $62.25 / $97.74	Professional	26	$34.04	$62.25	$97.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.73 / $129.34 / $190.40	Professional	TC	$69.73	$129.34	$190.40