Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.64 / $23.77 / $23.77	Facility	26	$22.64	$23.77	$23.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $141.03 / $161.88	Professional		$88.55	$141.03	$161.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.16 / $118.39 / $134.62	Professional	TC	$73.16	$118.39	$134.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $207.19 / $300.26	Professional		$144.28	$207.19	$300.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $116.68 / $174.91 / $253.49	Professional	TC	$116.68	$174.91	$253.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $145.49 / $268.23	Professional		$97.35	$145.49	$268.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.23 / $114.65 / $212.04	Professional	TC	$75.23	$114.65	$212.04
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $260.91 / $260.91 / $280.94	Professional		$260.91	$260.91	$280.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $228.47 / $310.27	Professional		$183.34	$228.47	$310.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.43 / $36.68 / $49.81	Professional	26	$29.43	$36.68	$49.81
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $153.91 / $191.79 / $260.45	Professional	TC	$153.91	$191.79	$260.45
United Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $211.34 / $307.86	Professional		$112.19	$211.34	$307.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.68 / $155.94 / $240.14	Professional	TC	$88.68	$155.94	$240.14