Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.89 / $76.89 / $118.35	Facility	26	$76.89	$76.89	$118.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $485.62 / $794.63	Professional		$433.43	$485.62	$794.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $76.89 / $146.21	Professional	26	$67.62	$76.89	$146.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.81 / $414.12 / $601.36	Professional	TC	$365.81	$414.12	$601.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.66 / $629.58 / $925.87	Professional		$469.66	$629.58	$925.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.12 / $104.88 / $153.18	Professional	26	$78.12	$104.88	$153.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $389.04 / $526.96 / $772.69	Professional	TC	$389.04	$526.96	$772.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.14 / $645.47 / $980.60	Professional		$392.14	$645.47	$980.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.16 / $100.06 / $161.06	Professional	26	$70.16	$100.06	$161.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $321.98 / $520.52 / $870.53	Professional	TC	$321.98	$520.52	$870.53
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $790.49 / $790.49 / $850.43	Professional		$790.49	$790.49	$850.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.29 / $675.12 / $851.72	Professional		$427.29	$675.12	$851.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.23 / $115.70 / $142.80	Professional	26	$73.23	$115.70	$142.80
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $354.06 / $559.41 / $710.55	Professional	TC	$354.06	$559.41	$710.55
United Facility/Professional Professional Modifier Low / Median / High Price $505.22 / $775.48 / $1,211.70	Professional		$505.22	$775.48	$1,211.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.06 / $129.91 / $202.10	Professional	26	$100.06	$129.91	$202.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $399.76 / $646.14 / $1,138.32	Professional	TC	$399.76	$646.14	$1,138.32