Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.96 / $49.96 / $77.28	Facility	26	$49.96	$49.96	$77.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $142.63 / $252.95	Professional		$109.45	$142.63	$252.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $49.96 / $108.47	Professional	26	$29.91	$49.96	$108.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $99.05 / $177.61	Professional	TC	$79.54	$99.05	$177.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.04 / $226.36 / $328.05	Professional		$154.04	$226.36	$328.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.20 / $69.20 / $100.31	Professional	26	$48.20	$69.20	$100.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.42 / $158.76 / $228.41	Professional	TC	$111.42	$158.76	$228.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.18 / $177.76 / $330.72	Professional		$124.18	$177.76	$330.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.07 / $50.76 / $94.43	Professional	26	$31.07	$50.76	$94.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.30 / $124.82 / $244.93	Professional	TC	$83.30	$124.82	$244.93
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $281.35 / $281.35 / $299.76	Professional		$281.35	$281.35	$299.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $246.37 / $334.58	Professional		$197.70	$246.37	$334.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.85 / $77.08 / $104.68	Professional	26	$61.85	$77.08	$104.68
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $135.84 / $169.27 / $229.88	Professional	TC	$135.84	$169.27	$229.88
United Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $238.70 / $373.24	Professional		$143.55	$238.70	$373.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.35 / $76.92 / $124.95	Professional	26	$35.35	$76.92	$124.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $170.17 / $292.73	Professional	TC	$103.58	$170.17	$292.73