Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.98 / $41.49 / $48.17	Facility	26	$30.98	$41.49	$48.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $125.07 / $205.33	Professional		$85.40	$125.07	$205.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.55 / $31.73 / $103.12	Professional	26	$26.55	$31.73	$103.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.13 / $84.53 / $122.56	Professional	TC	$58.13	$84.53	$122.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $150.00 / $213.50	Professional		$108.00	$150.00	$213.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.80 / $43.80 / $62.35	Professional	26	$31.80	$43.80	$62.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.44 / $106.17 / $151.13	Professional	TC	$76.44	$106.17	$151.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $34.36 / $34.36	Facility	26	$34.36	$34.36	$34.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $117.42 / $220.01	Professional		$78.92	$117.42	$220.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.95 / $36.03 / $70.22	Professional	26	$27.95	$36.03	$70.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.09 / $77.08 / $148.84	Professional	TC	$47.09	$77.08	$148.84
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $186.00 / $198.12	Professional		$186.00	$186.00	$198.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $154.83 / $221.19	Professional		$125.68	$154.83	$221.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.88 / $45.43 / $64.90	Professional	26	$36.88	$45.43	$64.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $88.80 / $109.40 / $156.29	Professional	TC	$88.80	$109.40	$156.29
United Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $148.01 / $230.72	Professional		$109.85	$148.01	$230.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.82 / $48.72 / $72.00	Professional	26	$32.82	$48.72	$72.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.34 / $100.95 / $160.57	Professional	TC	$64.34	$100.95	$160.57