Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.43 / $122.44 / $177.06	Facility	26	$122.43	$122.44	$177.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $414.14 / $515.60	Professional		$275.00	$414.14	$515.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.37 / $121.89 / $250.12	Professional	26	$104.37	$121.89	$250.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.17 / $309.76 / $385.70	Professional	TC	$169.17	$309.76	$385.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.06 / $441.47 / $956.98	Professional		$307.06	$441.47	$956.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.04 / $159.43 / $228.88	Professional	26	$120.04	$159.43	$228.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $301.50 / $662.73	Professional	TC	$190.00	$301.50	$662.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $225.26 / $225.26 / $225.26	Facility	26	$225.26	$225.26	$225.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $595.74 / $1,092.00	Professional		$370.00	$595.74	$1,092.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.39 / $137.55 / $249.53	Professional	26	$98.39	$137.55	$249.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $267.95 / $446.29 / $843.74	Professional	TC	$267.95	$446.29	$843.74
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $548.54 / $548.54 / $581.14	Professional		$548.54	$548.54	$581.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.46 / $480.35 / $667.00	Professional		$385.46	$480.35	$667.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $142.12 / $180.38 / $412.54	Professional	26	$142.12	$180.38	$412.54
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $243.35 / $308.86 / $525.00	Professional	TC	$243.35	$308.86	$525.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.76 / $721.22 / $1,126.90	Professional		$450.76	$721.22	$1,126.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.47 / $193.44 / $295.99	Professional	26	$103.47	$193.44	$295.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $329.86 / $502.59 / $806.42	Professional	TC	$329.86	$502.59	$806.42