Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.25 / $58.35 / $74.23	Facility	26	$48.25	$58.35	$74.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $136.40 / $386.03	Professional		$104.06	$136.40	$386.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $48.83 / $123.20	Professional	26	$40.90	$48.83	$123.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.89 / $79.34 / $122.41	Professional	TC	$59.89	$79.34	$122.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.27 / $173.66 / $248.07	Professional		$127.27	$173.66	$248.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.11 / $67.59 / $96.24	Professional	26	$52.11	$67.59	$96.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.43 / $107.78 / $152.58	Professional	TC	$77.43	$107.78	$152.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.62 / $53.62 / $53.62	Facility	26	$53.62	$53.62	$53.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $144.43 / $274.50	Professional		$111.54	$144.43	$274.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.17 / $56.44 / $109.58	Professional	26	$43.17	$56.44	$109.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.14 / $85.42 / $162.46	Professional	TC	$67.14	$85.42	$162.46
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $216.58 / $216.58 / $229.38	Professional		$216.58	$216.58	$229.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $180.29 / $257.55	Professional		$146.34	$180.29	$257.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.44 / $70.76 / $101.09	Professional	26	$57.44	$70.76	$101.09
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $88.89 / $109.51 / $156.44	Professional	TC	$88.89	$109.51	$156.44
United Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $186.77 / $274.91	Professional		$128.52	$186.77	$274.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.79 / $76.34 / $112.81	Professional	26	$49.79	$76.34	$112.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.43 / $106.75 / $166.60	Professional	TC	$77.43	$106.75	$166.60