Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.39 / $35.39 / $45.06	Facility	26	$35.39	$35.39	$45.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.05 / $318.62 / $496.60	Professional		$281.05	$318.62	$496.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $35.40 / $78.59	Professional	26	$30.39	$35.40	$78.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.88 / $287.36 / $443.37	Professional	TC	$247.88	$287.36	$443.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.63 / $439.50 / $641.87	Professional		$324.63	$439.50	$641.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $48.26 / $70.48	Professional	26	$35.95	$48.26	$70.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.89 / $391.23 / $571.38	Professional	TC	$285.89	$391.23	$571.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.13 / $429.82 / $745.63	Professional		$310.13	$429.82	$745.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $45.83 / $76.04	Professional	26	$32.90	$45.83	$76.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $277.22 / $384.25 / $660.67	Professional	TC	$277.22	$384.25	$660.67
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $545.14 / $545.14 / $588.78	Professional		$545.14	$545.14	$588.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.67 / $465.58 / $590.47	Professional		$294.67	$465.58	$590.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.71 / $53.26 / $65.73	Professional	26	$33.71	$53.26	$65.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $260.95 / $412.30 / $525.74	Professional	TC	$260.95	$412.30	$525.74
United Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $541.63 / $846.30	Professional		$295.83	$541.63	$846.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.58 / $59.47 / $92.93	Professional	26	$31.58	$59.47	$92.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.25 / $482.16 / $849.43	Professional	TC	$264.25	$482.16	$849.43