Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.70 / $67.70 / $67.72	Facility	26	$67.70	$67.70	$67.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $194.27 / $238.19	Professional		$112.93	$194.27	$238.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $60.19 / $100.10	Professional	26	$49.65	$60.19	$100.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.57 / $101.71 / $180.05	Professional	TC	$52.57	$101.71	$180.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $186.57 / $294.87	Professional		$137.03	$186.57	$294.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.97 / $92.13 / $133.52	Professional	26	$67.97	$92.13	$133.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.33 / $92.87 / $172.05	Professional	TC	$65.33	$92.87	$172.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $202.78 / $551.15	Professional		$116.80	$202.78	$551.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.19 / $75.25 / $135.55	Professional	26	$52.19	$75.25	$135.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.72 / $119.28 / $424.14	Professional	TC	$56.72	$119.28	$424.14
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $230.07 / $230.07 / $237.95	Professional		$230.07	$230.07	$237.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $201.46 / $273.58	Professional		$161.66	$201.46	$273.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.84 / $104.47 / $127.69	Professional	26	$83.84	$104.47	$127.69
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $77.83 / $96.99 / $131.71	Professional	TC	$77.83	$96.99	$131.71
United Facility/Professional Professional Modifier Low / Median / High Price $164.64 / $254.14 / $457.03	Professional		$164.64	$254.14	$457.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.93 / $107.73 / $179.55	Professional	26	$56.93	$107.73	$179.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.06 / $130.25 / $306.45	Professional	TC	$83.06	$130.25	$306.45