Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.38 / $43.38 / $44.16	Facility	26	$43.38	$43.38	$44.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $129.36 / $229.07	Professional		$107.15	$129.36	$229.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $42.75 / $65.38	Professional	26	$29.91	$42.75	$65.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.92 / $89.70 / $163.71	Professional	TC	$75.92	$89.70	$163.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $205.78 / $298.23	Professional		$141.50	$205.78	$298.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.33 / $58.66 / $86.08	Professional	26	$42.33	$58.66	$86.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.88 / $145.85 / $212.15	Professional	TC	$98.88	$145.85	$212.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $154.44 / $293.16	Professional		$105.98	$154.44	$293.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.07 / $46.32 / $87.82	Professional	26	$31.07	$46.32	$87.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.91 / $109.87 / $201.80	Professional	TC	$74.91	$109.87	$201.80
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $254.62 / $254.62 / $271.43	Professional		$254.62	$254.62	$271.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.92 / $222.96 / $302.79	Professional		$178.92	$222.96	$302.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $66.92 / $90.88	Professional	26	$53.70	$66.92	$90.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $125.22 / $156.04 / $211.90	Professional	TC	$125.22	$156.04	$211.90
United Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $211.13 / $367.89	Professional		$121.91	$211.13	$367.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $69.29 / $99.76	Professional	26	$34.65	$69.29	$99.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.56 / $151.30 / $235.25	Professional	TC	$86.56	$151.30	$235.25