Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.65 / $89.66 / $106.72	Facility	26	$89.65	$89.66	$106.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $293.00 / $394.23	Professional		$224.96	$293.00	$394.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $87.67 / $270.47	Professional	26	$73.00	$87.67	$270.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.63 / $205.83 / $259.95	Professional	TC	$145.63	$205.83	$259.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.96 / $309.07 / $776.07	Professional		$241.96	$309.07	$776.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.95 / $115.52 / $167.47	Professional	26	$85.95	$115.52	$167.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $161.63 / $204.96 / $512.40	Professional	TC	$161.63	$204.96	$512.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.09 / $165.09 / $165.09	Facility	26	$165.09	$165.09	$165.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.80 / $350.91 / $595.62	Professional		$221.80	$350.91	$595.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.68 / $107.11 / $182.88	Professional	26	$73.68	$107.11	$182.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.36 / $231.56 / $400.94	Professional	TC	$146.36	$231.56	$400.94
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $431.24 / $431.24 / $458.06	Professional		$431.24	$431.24	$458.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.02 / $384.62 / $547.79	Professional		$303.02	$384.62	$547.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $104.07 / $132.08 / $302.39	Professional	26	$104.07	$132.08	$302.39
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $198.97 / $252.53 / $490.00	Professional	TC	$198.97	$252.53	$490.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.43 / $419.42 / $679.60	Professional		$258.43	$419.42	$679.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.18 / $143.36 / $221.95	Professional	26	$75.18	$143.36	$221.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.90 / $271.14 / $460.61	Professional	TC	$177.90	$271.14	$460.61