Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.12 / $155.12 / $159.21	Facility	26	$155.12	$155.12	$159.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $479.40 / $667.57	Professional		$375.00	$479.40	$667.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.57 / $154.00 / $398.48	Professional	26	$118.57	$154.00	$398.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.04 / $335.00 / $489.66	Professional	TC	$249.04	$335.00	$489.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.90 / $503.86 / $1,259.65	Professional		$399.90	$503.86	$1,259.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $129.71 / $171.64 / $250.00	Professional	26	$129.71	$171.64	$250.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $274.77 / $358.20 / $867.87	Professional	TC	$274.77	$358.20	$867.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $242.57 / $242.57 / $242.57	Facility	26	$242.57	$242.57	$242.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.30 / $611.35 / $1,089.01	Professional		$358.30	$611.35	$1,089.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.63 / $161.44 / $268.70	Professional	26	$109.63	$161.44	$268.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.80 / $440.94 / $802.57	Professional	TC	$241.80	$440.94	$802.57
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $682.22 / $682.22 / $725.81	Professional		$682.22	$682.22	$725.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.40 / $608.47 / $840.00	Professional		$479.40	$608.47	$840.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $155.12 / $196.88 / $449.48	Professional	26	$155.12	$196.88	$449.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $324.29 / $411.59 / $700.00	Professional	TC	$324.29	$411.59	$700.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.61 / $725.19 / $1,167.17	Professional		$463.61	$725.19	$1,167.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.80 / $214.05 / $325.73	Professional	26	$110.80	$214.05	$325.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $311.98 / $512.14 / $810.71	Professional	TC	$311.98	$512.14	$810.71