Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.26 / $46.48 / $46.48	Facility	26	$44.26	$46.48	$46.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $228.16 / $280.83	Professional		$172.82	$228.16	$280.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $46.48 / $49.92	Professional	26	$42.77	$46.48	$49.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.44 / $185.40 / $230.90	Professional	TC	$154.44	$185.40	$230.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.85 / $307.23 / $448.70	Professional		$228.85	$307.23	$448.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.81 / $63.37 / $92.18	Professional	26	$48.81	$63.37	$92.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.83 / $244.11 / $356.52	Professional	TC	$181.83	$244.11	$356.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.07 / $310.39 / $518.50	Professional		$216.07	$310.39	$518.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.71 / $62.03 / $96.87	Professional	26	$44.71	$62.03	$96.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.08 / $228.69 / $393.06	Professional	TC	$171.08	$228.69	$393.06
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $386.34 / $386.34 / $414.05	Professional		$386.34	$386.34	$414.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.83 / $329.95 / $413.02	Professional		$208.83	$329.95	$413.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.26 / $69.93 / $86.31	Professional	26	$44.26	$69.93	$86.31
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $164.56 / $260.00 / $328.04	Professional	TC	$164.56	$260.00	$328.04
United Facility/Professional Professional Modifier Low / Median / High Price $221.03 / $377.57 / $587.35	Professional		$221.03	$377.57	$587.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.02 / $81.08 / $124.22	Professional	26	$42.02	$81.08	$124.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $170.72 / $296.80 / $463.75	Professional	TC	$170.72	$296.80	$463.75