Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.77 / $35.77 / $54.46	Facility	26	$35.77	$35.77	$54.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $107.94 / $170.67	Professional		$87.09	$107.94	$170.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.04 / $35.77 / $53.89	Professional	26	$29.04	$35.77	$53.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.90 / $232.10 / $783.34	Professional	50	$34.90	$232.10	$783.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.20 / $72.17 / $116.77	Professional	TC	$58.20	$72.17	$116.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $153.30 / $218.25	Professional		$111.31	$153.30	$218.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $50.52 / $71.16	Professional	26	$36.29	$50.52	$71.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $125.68 / $158.43 / $228.99	Professional	50	$125.68	$158.43	$228.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.01 / $102.96 / $147.82	Professional	TC	$75.01	$102.96	$147.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.72 / $39.72 / $39.72	Facility	26	$39.72	$39.72	$39.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $122.77 / $233.94	Professional		$95.84	$122.77	$233.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.99 / $42.17 / $80.45	Professional	26	$31.99	$42.17	$80.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.59 / $81.00 / $154.22	Professional	TC	$64.59	$81.00	$154.22
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $190.18 / $190.18 / $202.13	Professional		$190.18	$190.18	$202.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $158.31 / $226.16	Professional		$128.50	$158.31	$226.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.59 / $52.47 / $74.95	Professional	26	$42.59	$52.47	$74.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $85.91 / $105.84 / $151.21	Professional	TC	$85.91	$105.84	$151.21
United Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $163.49 / $241.75	Professional		$109.62	$163.49	$241.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $55.76 / $82.40	Professional	26	$37.61	$55.76	$82.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.48 / $107.73 / $169.15	Professional	TC	$72.48	$107.73	$169.15