Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.08 / $30.08 / $43.78	Facility	26	$30.08	$30.08	$43.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $99.77 / $182.25	Professional		$66.51	$99.77	$182.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.35 / $28.95 / $54.65	Professional	26	$25.35	$28.95	$54.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $72.05 / $131.94	Professional	TC	$42.50	$72.05	$131.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $130.55 / $381.25	Professional		$74.81	$130.55	$381.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.28 / $39.28 / $57.22	Professional	26	$29.28	$39.28	$57.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.53 / $96.38 / $301.50	Professional	TC	$44.53	$96.38	$301.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.81 / $54.81 / $54.81	Facility	26	$54.81	$54.81	$54.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $148.47 / $263.88	Professional		$86.94	$148.47	$263.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $35.38 / $60.72	Professional	26	$24.53	$35.38	$60.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.36 / $103.92 / $161.78	Professional	TC	$60.36	$103.92	$161.78
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $190.59 / $190.59 / $203.46	Professional		$190.59	$190.59	$203.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $166.89 / $300.00	Professional		$133.93	$166.89	$300.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.93 / $43.53 / $69.00	Professional	26	$34.93	$43.53	$69.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $99.00 / $123.36 / $231.00	Professional	TC	$99.00	$123.36	$231.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $169.20 / $253.78	Professional		$80.84	$169.20	$253.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.81 / $48.53 / $95.59	Professional	26	$24.81	$48.53	$95.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.04 / $122.99 / $182.33	Professional	TC	$56.04	$122.99	$182.33