Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.26 / $29.27 / $44.31	Facility	26	$29.26	$29.27	$44.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $112.09 / $178.06	Professional		$88.22	$112.09	$178.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $29.27 / $46.96	Professional	26	$23.82	$29.27	$46.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.11 / $79.67 / $133.91	Professional	TC	$64.11	$79.67	$133.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $157.49 / $220.28	Professional		$112.35	$157.49	$220.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $41.67 / $58.29	Professional	26	$29.98	$41.67	$58.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.62 / $115.81 / $162.80	Professional	TC	$82.62	$115.81	$162.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $122.02 / $227.52	Professional		$97.47	$122.02	$227.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.10 / $33.79 / $62.67	Professional	26	$26.10	$33.79	$62.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.31 / $88.29 / $164.84	Professional	TC	$70.31	$88.29	$164.84
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $197.49 / $197.49 / $210.94	Professional		$197.49	$197.49	$210.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $164.40 / $226.00	Professional		$133.44	$164.40	$226.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.84 / $42.08 / $55.18	Professional	26	$34.84	$42.08	$55.18
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $98.59 / $119.09 / $156.16	Professional	TC	$98.59	$119.09	$156.16
United Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $164.57 / $236.94	Professional		$109.64	$164.57	$236.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.66 / $45.48 / $87.90	Professional	26	$30.66	$45.48	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.98 / $119.09 / $175.98	Professional	TC	$78.98	$119.09	$175.98