Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $12.86 / $15.78	Facility	26	$11.48	$12.86	$15.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $110.78 / $184.58	Professional		$75.76	$110.78	$184.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $12.51 / $28.51	Professional	26	$10.41	$12.51	$28.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.46 / $84.79 / $165.74	Professional	TC	$63.46	$84.79	$165.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $123.63 / $400.00	Professional		$67.84	$123.63	$400.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $16.60 / $24.31	Professional	26	$12.50	$16.60	$24.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.88 / $109.40 / $301.50	Professional	TC	$54.88	$109.40	$301.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.39 / $23.39 / $23.39	Facility	26	$23.39	$23.39	$23.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $156.56 / $300.16	Professional		$97.63	$156.56	$300.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $15.20 / $25.90	Professional	26	$10.50	$15.20	$25.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.69 / $138.24 / $249.13	Professional	TC	$86.69	$138.24	$249.13
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $188.09 / $188.09 / $203.33	Professional		$188.09	$188.09	$203.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $164.71 / $384.79	Professional		$132.16	$164.71	$384.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $18.60 / $43.62	Professional	26	$14.92	$18.60	$43.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $117.25 / $146.11 / $341.18	Professional	TC	$117.25	$146.11	$341.18
United Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $186.76 / $289.49	Professional		$127.02	$186.76	$289.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $20.30 / $33.01	Professional	26	$10.65	$20.30	$33.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.94 / $165.73 / $258.95	Professional	TC	$113.94	$165.73	$258.95