Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.46 / $26.46 / $26.47	Facility	26	$26.46	$26.46	$26.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $102.57 / $180.34	Professional		$86.06	$102.57	$180.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.21 / $26.47 / $39.96	Professional	26	$22.21	$26.47	$39.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $74.78 / $140.53	Professional	TC	$61.40	$74.78	$140.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $158.00 / $225.70	Professional		$115.11	$158.00	$225.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.87 / $38.08 / $52.86	Professional	26	$27.87	$38.08	$52.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.15 / $120.13 / $177.14	Professional	TC	$88.15	$120.13	$177.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.72 / $29.72 / $29.72	Facility	26	$29.72	$29.72	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $114.95 / $226.49	Professional		$85.34	$114.95	$226.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $31.79 / $60.65	Professional	26	$23.91	$31.79	$60.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $84.21 / $172.31	Professional	TC	$60.10	$84.21	$172.31
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $199.62 / $199.62 / $213.71	Professional		$199.62	$199.62	$213.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $166.17 / $237.38	Professional		$134.88	$166.17	$237.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.51 / $38.07 / $49.92	Professional	26	$31.51	$38.07	$49.92
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $103.36 / $124.86 / $163.72	Professional	TC	$103.36	$124.86	$163.72
United Facility/Professional Professional Modifier Low / Median / High Price $108.78 / $163.71 / $250.21	Professional		$108.78	$163.71	$250.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.72 / $42.23 / $98.60	Professional	26	$29.72	$42.23	$98.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.63 / $127.17 / $195.76	Professional	TC	$79.63	$127.17	$195.76