Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.82 / $26.82 / $41.66	Facility	26	$26.82	$26.82	$41.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $103.01 / $161.99	Professional		$81.53	$103.01	$161.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.48 / $26.82 / $57.45	Professional	26	$22.48	$26.82	$57.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.21 / $78.17 / $115.60	Professional	TC	$55.21	$78.17	$115.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $146.51 / $210.79	Professional		$97.03	$146.51	$210.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.77 / $37.21 / $53.54	Professional	26	$26.77	$37.21	$53.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.38 / $109.15 / $157.24	Professional	TC	$72.38	$109.15	$157.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $117.46 / $198.23	Professional		$83.68	$117.46	$198.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.43 / $34.51 / $57.75	Professional	26	$23.43	$34.51	$57.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.24 / $85.37 / $141.22	Professional	TC	$61.24	$85.37	$141.22
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $184.98 / $184.98 / $197.54	Professional		$184.98	$184.98	$197.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $161.97 / $219.98	Professional		$129.99	$161.97	$219.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $41.39 / $56.21	Professional	26	$33.22	$41.39	$56.21
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $96.79 / $120.61 / $163.79	Professional	TC	$96.79	$120.61	$163.79
United Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $159.59 / $252.80	Professional		$96.27	$159.59	$252.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $45.62 / $67.15	Professional	26	$26.84	$45.62	$67.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.11 / $109.36 / $152.21	Professional	TC	$70.11	$109.36	$152.21