Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.83 / $58.18	Facility	26	$37.82	$37.83	$58.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $305.11 / $506.41	Professional		$251.87	$305.11	$506.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $38.17 / $111.34	Professional	26	$33.17	$38.17	$111.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $268.31 / $449.49	Professional	TC	$218.71	$268.31	$449.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.57 / $443.84 / $652.72	Professional		$327.57	$443.84	$652.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $51.72 / $75.23	Professional	26	$39.40	$51.72	$75.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.74 / $392.68 / $577.48	Professional	TC	$288.74	$392.68	$577.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.69 / $386.10 / $682.93	Professional		$234.69	$386.10	$682.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $50.02 / $77.86	Professional	26	$34.96	$50.02	$77.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.95 / $313.67 / $593.47	Professional	TC	$194.95	$313.67	$593.47
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $556.20 / $556.20 / $600.36	Professional		$556.20	$556.20	$600.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.64 / $475.03 / $600.15	Professional		$300.64	$475.03	$600.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.02 / $56.91 / $70.23	Professional	26	$36.02	$56.91	$70.23
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $264.63 / $418.12 / $530.99	Professional	TC	$264.63	$418.12	$530.99
United Facility/Professional Professional Modifier Low / Median / High Price $228.48 / $488.56 / $809.19	Professional		$228.48	$488.56	$809.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.89 / $62.41 / $139.05	Professional	26	$31.89	$62.41	$139.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.56 / $440.61 / $759.68	Professional	TC	$184.56	$440.61	$759.68