Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.79 / $44.79 / $44.79	Facility	26	$44.79	$44.79	$44.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $221.30 / $709.48	Professional		$111.83	$221.30	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.20 / $83.40 / $257.12	Professional	26	$43.20	$83.40	$257.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.63 / $137.91 / $452.37	Professional	TC	$68.63	$137.91	$452.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $176.19 / $282.63	Professional		$129.80	$176.19	$282.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.66 / $63.13 / $102.01	Professional	26	$46.66	$63.13	$102.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.77 / $112.59 / $183.05	Professional	TC	$82.77	$112.59	$183.05
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $222.63 / $222.63 / $236.82	Professional		$222.63	$222.63	$236.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $190.14 / $271.97	Professional		$126.36	$190.14	$271.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $70.77 / $101.23	Professional	26	$47.03	$70.77	$101.23
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $79.31 / $119.35 / $170.72	Professional	TC	$79.31	$119.35	$170.72
United Facility/Professional Professional Modifier Low / Median / High Price $154.93 / $200.10 / $311.27	Professional		$154.93	$200.10	$311.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.18 / $73.90 / $115.48	Professional	26	$36.18	$73.90	$115.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.17 / $125.87 / $230.40	Professional	TC	$104.17	$125.87	$230.40