Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.73 / $124.73 / $124.73	Facility	26	$124.73	$124.73	$124.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.79 / $250.15 / $371.98	Professional		$203.79	$250.15	$371.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.52 / $121.82 / $176.08	Professional	26	$87.52	$121.82	$176.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.29 / $125.43 / $217.84	Professional	TC	$97.29	$125.43	$217.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.99 / $337.76 / $515.45	Professional		$253.99	$337.76	$515.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.01 / $159.94 / $231.80	Professional	26	$119.01	$159.94	$231.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.58 / $173.80 / $339.86	Professional	TC	$123.58	$173.80	$339.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $228.64 / $228.64 / $228.64	Facility	26	$228.64	$228.64	$228.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $564.95 / $1,005.46	Professional		$366.14	$564.95	$1,005.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.31 / $142.00 / $253.29	Professional	26	$98.31	$142.00	$253.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.18 / $432.77 / $745.34	Professional	TC	$266.18	$432.77	$745.34
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $413.20 / $413.20 / $433.66	Professional		$413.20	$413.20	$433.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.36 / $361.83 / $491.37	Professional		$290.36	$361.83	$491.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $144.77 / $180.40 / $292.32	Professional	26	$144.77	$180.40	$292.32
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $145.59 / $181.42 / $413.61	Professional	TC	$145.59	$181.42	$413.61
United Facility/Professional Professional Modifier Low / Median / High Price $363.33 / $764.55 / $1,212.59	Professional		$363.33	$764.55	$1,212.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.57 / $196.32 / $306.75	Professional	26	$98.57	$196.32	$306.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.76 / $582.32 / $905.85	Professional	TC	$264.76	$582.32	$905.85