Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.56 / $48.56 / $48.56	Facility	26	$48.56	$48.56	$48.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $329.43 / $529.04	Professional		$267.32	$329.43	$529.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $48.56 / $88.92	Professional	26	$43.47	$48.56	$88.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $278.72 / $455.86	Professional	TC	$223.84	$278.72	$455.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.48 / $464.58 / $683.22	Professional		$343.48	$464.58	$683.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.97 / $65.90 / $96.24	Professional	26	$50.97	$65.90	$96.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $293.14 / $398.67 / $586.29	Professional	TC	$293.14	$398.67	$586.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.64 / $424.95 / $732.74	Professional		$281.64	$424.95	$732.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.53 / $63.74 / $101.14	Professional	26	$45.53	$63.74	$101.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.72 / $347.92 / $634.63	Professional	TC	$227.72	$347.92	$634.63
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $582.04 / $582.04 / $627.19	Professional		$582.04	$582.04	$627.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.62 / $497.10 / $628.32	Professional		$314.62	$497.10	$628.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.25 / $73.08 / $90.19	Professional	26	$46.25	$73.08	$90.19
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $268.37 / $424.02 / $539.49	Professional	TC	$268.37	$424.02	$539.49
United Facility/Professional Professional Modifier Low / Median / High Price $273.70 / $536.48 / $894.13	Professional		$273.70	$536.48	$894.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.52 / $77.42 / $129.03	Professional	26	$43.52	$77.42	$129.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $232.07 / $459.06 / $765.10	Professional	TC	$232.07	$459.06	$765.10