Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.55 / $33.13 / $33.13	Facility	26	$31.55	$33.13	$33.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.98 / $150.35 / $280.58	Professional		$116.98	$150.35	$280.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.77 / $33.13 / $66.72	Professional	26	$27.77	$33.13	$66.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.80 / $108.14 / $189.78	Professional	TC	$85.80	$108.14	$189.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.71 / $205.47 / $299.54	Professional		$144.71	$205.47	$299.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.45 / $45.70 / $67.34	Professional	26	$34.45	$45.70	$67.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.83 / $158.79 / $223.67	Professional	TC	$111.83	$158.79	$223.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $37.04 / $37.04	Facility	26	$37.04	$37.04	$37.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $179.91 / $336.58	Professional		$106.73	$179.91	$336.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.32 / $39.43 / $76.78	Professional	26	$29.32	$39.43	$76.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.84 / $138.28 / $267.11	Professional	TC	$71.84	$138.28	$267.11
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $264.89 / $284.33	Professional		$264.89	$264.89	$284.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.99 / $220.51 / $315.02	Professional		$178.99	$220.51	$315.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.44 / $48.59 / $69.41	Professional	26	$39.44	$48.59	$69.41
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $139.56 / $171.94 / $245.63	Professional	TC	$139.56	$171.94	$245.63
United Facility/Professional Professional Modifier Low / Median / High Price $132.56 / $223.83 / $361.91	Professional		$132.56	$223.83	$361.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.71 / $51.78 / $80.76	Professional	26	$35.71	$51.78	$80.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.06 / $170.17 / $295.80	Professional	TC	$100.06	$170.17	$295.80