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 / $43.31	Facility	26	$34.03	$34.03	$43.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $85.81 / $134.96	Professional		$68.61	$85.81	$134.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.67 / $34.03 / $51.21	Professional	26	$27.67	$34.03	$51.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.94 / $51.78 / $83.76	Professional	TC	$40.94	$51.78	$83.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $122.01 / $175.55	Professional		$84.35	$122.01	$175.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.33 / $47.11 / $67.78	Professional	26	$34.33	$47.11	$67.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.78 / $74.90 / $107.77	Professional	TC	$51.78	$74.90	$107.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $102.77 / $173.21	Professional		$74.54	$102.77	$173.21
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 $42.83 / $59.09 / $98.65	Professional	TC	$42.83	$59.09	$98.65
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $151.18 / $159.77	Professional		$151.18	$151.18	$159.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $132.38 / $179.78	Professional		$106.24	$132.38	$179.78
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 $64.12 / $79.90 / $99.36	Professional	TC	$64.12	$79.90	$99.36
United Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $135.63 / $199.53	Professional		$83.67	$135.63	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.45 / $57.17 / $86.36	Professional	26	$35.45	$57.17	$86.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.90 / $77.76 / $120.00	Professional	TC	$47.90	$77.76	$120.00