Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.76 / $23.76 / $23.76	Facility	26	$23.76	$23.76	$23.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $228.02 / $366.19	Professional		$206.22	$228.02	$366.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $23.33 / $53.30	Professional	26	$20.60	$23.33	$53.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.83 / $204.26 / $330.38	Professional	TC	$183.83	$204.26	$330.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.58 / $323.01 / $471.74	Professional		$238.58	$323.01	$471.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.19 / $32.47 / $47.44	Professional	26	$24.19	$32.47	$47.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.28 / $291.37 / $424.30	Professional	TC	$213.28	$291.37	$424.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.03 / $317.00 / $506.53	Professional		$229.03	$317.00	$506.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $30.95 / $51.66	Professional	26	$22.33	$30.95	$51.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.71 / $284.00 / $454.88	Professional	TC	$206.71	$284.00	$454.88
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $401.75 / $401.75 / $434.16	Professional		$401.75	$401.75	$434.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.16 / $343.11 / $433.69	Professional		$217.16	$343.11	$433.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $35.76 / $44.13	Professional	26	$22.63	$35.76	$44.13
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $194.54 / $307.37 / $390.23	Professional	TC	$194.54	$307.37	$390.23
United Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $391.27 / $618.92	Professional		$218.58	$391.27	$618.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $39.84 / $70.19	Professional	26	$21.46	$39.84	$70.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.12 / $350.51 / $556.67	Professional	TC	$197.12	$350.51	$556.67