Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.10 / $41.10 / $49.07	Facility	26	$41.10	$41.10	$49.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $92.40 / $163.98	Professional		$73.03	$92.40	$163.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $40.09 / $123.82	Professional	26	$34.07	$40.09	$123.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.02 / $56.22 / $88.24	Professional	TC	$34.02	$56.22	$88.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $114.98 / $176.83	Professional		$80.20	$114.98	$176.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.06 / $54.75 / $82.49	Professional	26	$39.06	$54.75	$82.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.65 / $58.96 / $93.13	Professional	TC	$40.65	$58.96	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $112.68 / $248.76	Professional		$67.02	$112.68	$248.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.93 / $50.03 / $85.86	Professional	26	$33.93	$50.03	$85.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.16 / $55.46 / $128.32	Professional	TC	$30.16	$55.46	$128.32
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $147.04 / $147.04 / $154.49	Professional		$147.04	$147.04	$154.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $128.76 / $178.83	Professional		$103.32	$128.76	$178.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.72 / $59.47 / $80.76	Professional	26	$47.72	$59.47	$80.76
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $55.60 / $69.29 / $94.09	Professional	TC	$55.60	$69.29	$94.09
United Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $120.15 / $192.76	Professional		$79.70	$120.15	$192.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.39 / $65.54 / $101.95	Professional	26	$34.39	$65.54	$101.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.70 / $57.81 / $92.39	Professional	TC	$38.70	$57.81	$92.39