Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $108.64 / $133.69	Professional		$73.29	$108.64	$133.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.19 / $18.53 / $21.49	Professional	26	$14.19	$18.53	$21.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.56 / $90.11 / $111.35	Professional	TC	$54.56	$90.11	$111.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $170.32 / $248.75	Professional		$107.63	$170.32	$248.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $27.00 / $38.63	Professional	26	$20.00	$27.00	$38.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $143.40 / $209.44	Professional	TC	$81.28	$143.40	$209.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $111.82 / $214.63	Professional		$65.01	$111.82	$214.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $24.28 / $40.33	Professional	26	$17.14	$24.28	$40.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $92.63 / $177.66	Professional	TC	$47.86	$92.63	$177.66
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $205.89 / $205.89 / $221.76	Professional		$205.89	$205.89	$221.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.68 / $180.29 / $244.84	Professional		$144.68	$180.29	$244.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.88 / $29.76 / $40.40	Professional	26	$23.88	$29.76	$40.40
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $120.78 / $150.51 / $204.40	Professional	TC	$120.78	$150.51	$204.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $161.82 / $251.78	Professional		$75.02	$161.82	$251.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.72 / $31.18 / $48.73	Professional	26	$18.72	$31.18	$48.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.90 / $145.50 / $293.79	Professional	TC	$55.90	$145.50	$293.79