Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.28 / $37.29 / $58.22	Facility	26	$37.28	$37.29	$58.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $91.23 / $200.48	Professional		$73.81	$91.23	$200.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.97 / $37.29 / $123.94	Professional	26	$31.97	$37.29	$123.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $53.41 / $85.82	Professional	TC	$39.72	$53.41	$85.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $125.11 / $177.11	Professional		$93.80	$125.11	$177.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.25 / $51.85 / $73.88	Professional	26	$39.25	$51.85	$73.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.25 / $72.66 / $102.86	Professional	TC	$52.25	$72.66	$102.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $108.28 / $199.33	Professional		$79.39	$108.28	$199.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $44.46 / $85.99	Professional	26	$33.36	$44.46	$85.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.29 / $61.18 / $110.32	Professional	TC	$45.29	$61.18	$110.32
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $159.32 / $168.44	Professional		$159.32	$159.32	$168.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $132.62 / $189.46	Professional		$107.65	$132.62	$189.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.40 / $54.70 / $78.14	Professional	26	$44.40	$54.70	$78.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $63.25 / $77.92 / $111.32	Professional	TC	$63.25	$77.92	$111.32
United Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $134.75 / $191.35	Professional		$92.59	$134.75	$191.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.09 / $59.01 / $93.75	Professional	26	$39.09	$59.01	$93.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.04 / $73.62 / $109.42	Professional	TC	$52.04	$73.62	$109.42