Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.46 / $41.46 / $64.09	Facility	26	$41.46	$41.46	$64.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $114.70 / $277.24	Professional		$93.43	$114.70	$277.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.33 / $41.85 / $134.43	Professional	26	$35.33	$41.85	$134.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $70.76 / $123.76	Professional	TC	$56.82	$70.76	$123.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.56 / $160.63 / $231.12	Professional		$115.56	$160.63	$231.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.31 / $57.88 / $82.69	Professional	26	$43.31	$57.88	$82.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.20 / $103.17 / $148.43	Professional	TC	$74.20	$103.17	$148.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.25 / $46.25 / $46.25	Facility	26	$46.25	$46.25	$46.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $124.62 / $246.68	Professional		$97.50	$124.62	$246.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $48.62 / $94.69	Professional	26	$37.11	$48.62	$94.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.94 / $75.27 / $155.00	Professional	TC	$57.94	$75.27	$155.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $202.09 / $202.09 / $214.82	Professional		$202.09	$202.09	$214.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $168.23 / $240.33	Professional		$136.55	$168.23	$240.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.36 / $60.81 / $86.88	Professional	26	$49.36	$60.81	$86.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $87.19 / $107.42 / $153.44	Professional	TC	$87.19	$107.42	$153.44
United Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $172.70 / $258.14	Professional		$110.72	$172.70	$258.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.21 / $69.59 / $148.59	Professional	26	$42.21	$69.59	$148.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.52 / $104.14 / $159.10	Professional	TC	$68.52	$104.14	$159.10