Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.78 / $56.78 / $56.79	Facility	26	$56.78	$56.78	$56.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.94 / $334.37 / $389.90	Professional		$303.94	$334.37	$389.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $55.45 / $56.79	Professional	26	$49.03	$55.45	$56.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.35 / $280.99 / $336.10	Professional	TC	$250.35	$280.99	$336.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.31 / $472.91 / $690.67	Professional		$349.31	$472.91	$690.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.73 / $77.50 / $113.19	Professional	26	$57.73	$77.50	$113.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $292.06 / $397.03 / $577.48	Professional	TC	$292.06	$397.03	$577.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.02 / $473.32 / $757.10	Professional		$338.02	$473.32	$757.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.08 / $73.70 / $122.54	Professional	26	$53.08	$73.70	$122.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $285.49 / $396.00 / $634.53	Professional	TC	$285.49	$396.00	$634.53
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $589.13 / $589.13 / $633.83	Professional		$589.13	$589.13	$633.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $503.15 / $635.35	Professional		$318.45	$503.15	$635.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.09 / $85.46 / $105.48	Professional	26	$54.09	$85.46	$105.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $264.36 / $417.69 / $530.99	Professional	TC	$264.36	$417.69	$530.99
United Facility/Professional Professional Modifier Low / Median / High Price $325.88 / $584.37 / $913.08	Professional		$325.88	$584.37	$913.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.89 / $89.87 / $149.78	Professional	26	$50.89	$89.87	$149.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $274.99 / $490.68 / $719.10	Professional	TC	$274.99	$490.68	$719.10