Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.36 / $53.37 / $67.95	Facility	26	$53.36	$53.37	$67.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.72 / $214.87 / $363.48	Professional		$175.72	$214.87	$363.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $50.88 / $74.31	Professional	26	$42.06	$50.88	$74.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.41 / $161.50 / $249.75	Professional	TC	$131.41	$161.50	$249.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.16 / $309.98 / $445.99	Professional		$224.16	$309.98	$445.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.82 / $73.95 / $106.41	Professional	26	$54.82	$73.95	$106.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.45 / $235.55 / $338.90	Professional	TC	$169.45	$235.55	$338.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.63 / $105.63 / $105.63	Facility	26	$105.63	$105.63	$105.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.56 / $309.89 / $592.50	Professional		$193.56	$309.89	$592.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.01 / $65.51 / $117.02	Professional	26	$47.01	$65.51	$117.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.56 / $229.83 / $413.24	Professional	TC	$146.56	$229.83	$413.24
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $378.58 / $378.58 / $405.09	Professional		$378.58	$378.58	$405.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.02 / $331.52 / $450.21	Professional		$266.02	$331.52	$450.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.08 / $81.33 / $100.64	Professional	26	$66.08	$81.33	$100.64
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $199.95 / $246.10 / $311.97	Professional	TC	$199.95	$246.10	$311.97
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $387.09 / $601.05	Professional		$204.17	$387.09	$601.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.44 / $91.23 / $156.18	Professional	26	$48.44	$91.23	$156.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.72 / $300.74 / $498.35	Professional	TC	$155.72	$300.74	$498.35