Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.75 / $42.87 / $51.79	Facility	26	$33.75	$42.87	$51.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $135.63 / $280.73	Professional		$105.72	$135.63	$280.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.74 / $39.44 / $117.02	Professional	26	$29.74	$39.44	$117.02
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $47.66 / $61.22 / $87.19	Professional	52	$47.66	$61.22	$87.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.34 / $94.62 / $167.72	Professional	TC	$74.34	$94.62	$167.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $176.66 / $254.17	Professional		$127.08	$176.66	$254.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $47.45 / $67.78	Professional	26	$34.57	$47.45	$67.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.19 / $130.47 / $186.39	Professional	TC	$93.19	$130.47	$186.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.42 / $37.42 / $37.42	Facility	26	$37.42	$37.42	$37.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $138.09 / $267.75	Professional		$103.66	$138.09	$267.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.45 / $39.43 / $76.48	Professional	26	$30.45	$39.43	$76.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.64 / $93.53 / $187.58	Professional	TC	$72.64	$93.53	$187.58
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $219.89 / $219.89 / $234.80	Professional		$219.89	$219.89	$234.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.58 / $183.04 / $261.49	Professional		$148.58	$183.04	$261.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.20 / $49.53 / $70.75	Professional	26	$40.20	$49.53	$70.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $108.39 / $133.53 / $190.76	Professional	TC	$108.39	$133.53	$190.76
United Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $193.06 / $438.61	Professional		$119.10	$193.06	$438.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $53.06 / $80.37	Professional	26	$34.61	$53.06	$80.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.76 / $130.30 / $194.07	Professional	TC	$84.76	$130.30	$194.07