Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.53 / $44.10 / $56.65	Facility	26	$36.53	$44.10	$56.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $103.31 / $297.33	Professional		$82.40	$103.31	$297.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.23 / $37.45 / $117.11	Professional	26	$31.23	$37.45	$117.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.35 / $64.31 / $106.10	Professional	TC	$48.35	$64.31	$106.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $136.65 / $196.18	Professional		$99.56	$136.65	$196.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $51.24 / $73.20	Professional	26	$39.40	$51.24	$73.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.22 / $86.61 / $122.61	Professional	TC	$62.22	$86.61	$122.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $111.46 / $212.45	Professional		$87.76	$111.46	$212.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.93 / $42.91 / $83.61	Professional	26	$32.93	$42.91	$83.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.19 / $69.34 / $131.37	Professional	TC	$54.19	$69.34	$131.37
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $170.72 / $170.72 / $180.99	Professional		$170.72	$170.72	$180.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $142.11 / $203.02	Professional		$115.35	$142.11	$203.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.49 / $53.58 / $76.54	Professional	26	$43.49	$53.58	$76.54
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $71.86 / $88.53 / $126.48	Professional	TC	$71.86	$88.53	$126.48
United Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $156.60 / $274.66	Professional		$100.63	$156.60	$274.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $57.38 / $128.58	Professional	26	$37.15	$57.38	$128.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.48 / $88.78 / $166.84	Professional	TC	$63.48	$88.78	$166.84