Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.79 / $36.79 / $46.84	Facility	26	$36.79	$36.79	$46.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $155.02 / $218.70	Professional		$122.45	$155.02	$218.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.59 / $36.79 / $118.29	Professional	26	$28.59	$36.79	$118.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.86 / $118.23 / $169.10	Professional	TC	$93.86	$118.23	$169.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $218.11 / $313.82	Professional		$156.91	$218.11	$313.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.33 / $51.96 / $73.20	Professional	26	$37.33	$51.96	$73.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.48 / $167.24 / $240.61	Professional	TC	$121.48	$167.24	$240.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $167.47 / $342.09	Professional		$126.29	$167.47	$342.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.14 / $42.46 / $82.04	Professional	26	$32.14	$42.46	$82.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.30 / $126.80 / $257.36	Professional	TC	$92.30	$126.80	$257.36
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $273.13 / $273.13 / $292.26	Professional		$273.13	$273.13	$292.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.55 / $227.37 / $324.81	Professional		$184.55	$227.37	$324.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.81 / $53.98 / $77.11	Professional	26	$43.81	$53.98	$77.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $140.75 / $173.40 / $247.72	Professional	TC	$140.75	$173.40	$247.72
United Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $238.35 / $461.56	Professional		$144.63	$238.35	$461.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.59 / $59.01 / $84.96	Professional	26	$38.59	$59.01	$84.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.04 / $175.75 / $268.81	Professional	TC	$106.04	$175.75	$268.81