Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.40 / $42.87 / $51.79	Facility	26	$33.40	$42.87	$51.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $125.62 / $186.71	Professional		$89.62	$125.62	$186.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.60 / $33.85 / $107.37	Professional	26	$28.60	$33.85	$107.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.24 / $85.98 / $144.04	Professional	TC	$63.24	$85.98	$144.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.08 / $156.58 / $223.67	Professional		$114.08	$156.58	$223.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $47.13 / $67.09	Professional	26	$34.22	$47.13	$67.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.84 / $109.97 / $156.57	Professional	TC	$79.84	$109.97	$156.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.07 / $37.07 / $37.07	Facility	26	$37.07	$37.07	$37.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $127.64 / $244.26	Professional		$99.71	$127.64	$244.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.13 / $39.45 / $76.48	Professional	26	$30.13	$39.45	$76.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.33 / $84.89 / $164.39	Professional	TC	$69.33	$84.89	$164.39
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $195.32 / $195.32 / $208.00	Professional		$195.32	$195.32	$208.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $162.59 / $232.28	Professional		$131.97	$162.59	$232.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.78 / $49.00 / $70.00	Professional	26	$39.78	$49.00	$70.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $92.21 / $113.61 / $162.29	Professional	TC	$92.21	$113.61	$162.29
United Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $170.41 / $390.59	Professional		$117.42	$170.41	$390.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $56.02 / $98.69	Professional	26	$34.97	$56.02	$98.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.56 / $114.76 / $169.05	Professional	TC	$80.56	$114.76	$169.05