Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.48 / $75.48 / $90.87	Facility	26	$75.48	$75.48	$90.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $163.03 / $275.00	Professional		$137.87	$163.03	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $74.91 / $164.82	Professional	26	$52.54	$74.91	$164.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.53 / $99.40 / $141.43	Professional	TC	$65.53	$99.40	$141.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $209.80 / $327.30	Professional		$150.72	$209.80	$327.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.83 / $98.45 / $142.37	Professional	26	$70.83	$98.45	$142.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.93 / $110.00 / $171.54	Professional	TC	$76.93	$110.00	$171.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.70 / $73.70 / $140.37	Facility	26	$73.70	$73.70	$140.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $192.07 / $385.03	Professional		$128.00	$192.07	$385.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.80 / $73.76 / $143.96	Professional	26	$51.80	$73.76	$143.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.96 / $103.04 / $239.00	Professional	TC	$62.96	$103.04	$239.00
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $232.93 / $232.93 / $243.37	Professional		$232.93	$232.93	$243.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $203.74 / $308.48	Professional		$163.68	$203.74	$308.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $87.62 / $107.84 / $148.28	Professional	26	$87.62	$107.84	$148.28
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $76.06 / $94.79 / $143.35	Professional	TC	$76.06	$94.79	$143.35
United Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $252.13 / $496.67	Professional		$153.54	$252.13	$496.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.92 / $113.69 / $180.61	Professional	26	$49.92	$113.69	$180.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.68 / $127.83 / $237.87	Professional	TC	$84.68	$127.83	$237.87