Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.68 / $79.68 / $79.68	Facility	26	$79.68	$79.68	$79.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $388.06 / $661.59	Professional		$342.85	$388.06	$661.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $79.68 / $171.32	Professional	26	$68.56	$79.68	$171.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $310.45 / $549.13	Professional	TC	$274.27	$310.45	$549.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.98 / $589.40 / $860.80	Professional		$430.98	$589.40	$860.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.70 / $101.63 / $148.43	Professional	26	$75.70	$101.63	$148.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $356.18 / $484.40 / $712.36	Professional	TC	$356.18	$484.40	$712.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.56 / $601.59 / $966.33	Professional		$425.56	$601.59	$966.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.18 / $102.00 / $169.49	Professional	26	$71.18	$102.00	$169.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.78 / $493.06 / $790.81	Professional	TC	$354.78	$493.06	$790.81
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $729.57 / $729.57 / $784.27	Professional		$729.57	$729.57	$784.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.36 / $623.09 / $792.01	Professional		$394.36	$623.09	$792.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $71.14 / $112.40 / $268.60	Professional	26	$71.14	$112.40	$268.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $323.20 / $510.67 / $655.37	Professional	TC	$323.20	$510.67	$655.37
United Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $685.28 / $1,075.09	Professional		$338.66	$685.28	$1,075.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.51 / $123.19 / $196.70	Professional	26	$70.51	$123.19	$196.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.87 / $572.73 / $954.55	Professional	TC	$269.87	$572.73	$954.55