Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.67 / $37.78 / $76.00	Facility	26	$31.67	$37.78	$76.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $93.45 / $173.29	Professional		$72.15	$93.45	$173.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.13 / $32.15 / $105.39	Professional	26	$27.13	$32.15	$105.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.69 / $59.20 / $89.90	Professional	TC	$43.69	$59.20	$89.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $120.04 / $171.48	Professional		$87.46	$120.04	$171.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $44.60 / $63.71	Professional	26	$33.79	$44.60	$63.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.96 / $76.51 / $108.31	Professional	TC	$54.96	$76.51	$108.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $100.79 / $188.49	Professional		$77.18	$100.79	$188.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.39 / $37.14 / $71.76	Professional	26	$28.39	$37.14	$71.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.59 / $62.22 / $115.43	Professional	TC	$47.59	$62.22	$115.43
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $150.19 / $159.19	Professional		$150.19	$150.19	$159.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $125.03 / $178.62	Professional		$101.49	$125.03	$178.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.71 / $46.46 / $66.37	Professional	26	$37.71	$46.46	$66.37
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $63.78 / $78.56 / $112.24	Professional	TC	$63.78	$78.56	$112.24
United Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $128.30 / $190.09	Professional		$88.98	$128.30	$190.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.46 / $48.14 / $73.59	Professional	26	$32.46	$48.14	$73.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.56 / $78.50 / $113.02	Professional	TC	$57.56	$78.50	$113.02