Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.56 / $46.56 / $71.80	Facility	26	$46.56	$46.56	$71.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $145.06 / $179.45	Professional		$83.73	$145.06	$179.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $39.04 / $69.62	Professional	26	$15.71	$39.04	$69.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.48 / $90.06 / $161.07	Professional	TC	$44.48	$90.06	$161.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $144.88 / $229.00	Professional		$104.49	$144.88	$229.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.74 / $63.58 / $92.85	Professional	26	$42.74	$63.58	$92.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.65 / $79.11 / $148.40	Professional	TC	$55.65	$79.11	$148.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $153.02 / $465.78	Professional		$88.61	$153.02	$465.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $41.00 / $83.74	Professional	26	$16.29	$41.00	$83.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.20 / $102.67 / $409.66	Professional	TC	$48.20	$102.67	$409.66
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $177.05 / $177.05 / $185.52	Professional		$177.05	$177.05	$185.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.41 / $155.03 / $210.54	Professional		$124.41	$155.03	$210.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.64 / $70.94 / $87.79	Professional	26	$57.64	$70.94	$87.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $66.77 / $83.20 / $112.99	Professional	TC	$66.77	$83.20	$112.99
United Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $185.44 / $354.43	Professional		$115.44	$185.44	$354.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $70.38 / $124.50	Professional	26	$17.89	$70.38	$124.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.89 / $113.11 / $300.13	Professional	TC	$70.89	$113.11	$300.13