Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.65 / $123.66 / $177.51	Facility	26	$123.65	$123.66	$177.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $372.31 / $560.04	Professional		$282.00	$372.31	$560.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.31 / $118.03 / $225.11	Professional	26	$100.31	$118.03	$225.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.13 / $263.82 / $373.84	Professional	TC	$169.13	$263.82	$373.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $389.07 / $1,065.35	Professional		$306.14	$389.07	$1,065.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.51 / $158.55 / $229.77	Professional	26	$120.51	$158.55	$229.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $261.02 / $662.73	Professional	TC	$190.00	$261.02	$662.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $224.55 / $224.55 / $224.55	Facility	26	$224.55	$224.55	$224.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.54 / $520.54 / $953.55	Professional		$313.54	$520.54	$953.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.51 / $144.06 / $248.74	Professional	26	$100.51	$144.06	$248.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.09 / $392.30 / $714.17	Professional	TC	$210.09	$392.30	$714.17
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $611.42 / $611.42 / $649.54	Professional		$611.42	$611.42	$649.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.65 / $522.19 / $727.10	Professional		$429.65	$522.19	$727.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $143.53 / $181.40 / $270.50	Professional	26	$143.53	$181.40	$270.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $286.10 / $352.13 / $539.20	Professional	TC	$286.10	$352.13	$539.20
United Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $614.19 / $1,093.63	Professional		$394.63	$614.19	$1,093.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.56 / $194.30 / $292.82	Professional	26	$102.56	$194.30	$292.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $291.54 / $456.73 / $739.45	Professional	TC	$291.54	$456.73	$739.45