Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.02 / $43.02 / $66.18	Facility	26	$43.02	$43.02	$66.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.40 / $436.79 / $667.57	Professional		$377.40	$436.79	$667.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $41.51 / $72.15	Professional	26	$36.71	$41.51	$72.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $336.95 / $399.06 / $602.77	Professional	TC	$336.95	$399.06	$602.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.38 / $586.72 / $862.83	Professional		$436.38	$586.72	$862.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.55 / $58.47 / $85.40	Professional	26	$43.55	$58.47	$85.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $388.71 / $528.65 / $777.43	Professional	TC	$388.71	$528.65	$777.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.03 / $588.49 / $1,007.64	Professional		$424.03	$588.49	$1,007.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.71 / $55.84 / $91.55	Professional	26	$39.71	$55.84	$91.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $384.58 / $533.59 / $903.98	Professional	TC	$384.58	$533.59	$903.98
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $732.21 / $732.21 / $791.54	Professional		$732.21	$732.21	$791.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.79 / $625.35 / $793.81	Professional		$395.79	$625.35	$793.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.97 / $64.73 / $79.89	Professional	26	$40.97	$64.73	$79.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $354.82 / $560.62 / $715.13	Professional	TC	$354.82	$560.62	$715.13
United Facility/Professional Professional Modifier Low / Median / High Price $404.97 / $715.41 / $1,143.15	Professional		$404.97	$715.41	$1,143.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.01 / $73.33 / $114.58	Professional	26	$38.01	$73.33	$114.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $366.96 / $641.11 / $1,028.57	Professional	TC	$366.96	$641.11	$1,028.57