Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.63 / $50.63 / $50.63	Facility	26	$50.63	$50.63	$50.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $315.69 / $505.16	Professional		$287.89	$315.69	$505.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $50.63 / $112.31	Professional	26	$43.47	$50.63	$112.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.14 / $265.06 / $428.87	Professional	TC	$240.14	$265.06	$428.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.80 / $447.85 / $654.07	Professional		$330.80	$447.85	$654.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.50 / $69.15 / $100.99	Professional	26	$51.50	$69.15	$100.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $276.88 / $379.16 / $553.76	Professional	TC	$276.88	$379.16	$553.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.98 / $437.04 / $756.55	Professional		$303.98	$437.04	$756.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.04 / $65.77 / $108.54	Professional	26	$47.04	$65.77	$108.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $256.94 / $371.26 / $634.09	Professional	TC	$256.94	$371.26	$634.09
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $556.22 / $556.22 / $598.90	Professional		$556.22	$556.22	$598.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.66 / $475.04 / $601.99	Professional		$300.66	$475.04	$601.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.22 / $76.19 / $94.03	Professional	26	$48.22	$76.19	$94.03
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $252.44 / $398.86 / $509.39	Professional	TC	$252.44	$398.86	$509.39
United Facility/Professional Professional Modifier Low / Median / High Price $290.01 / $545.26 / $860.73	Professional		$290.01	$545.26	$860.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.07 / $80.66 / $134.43	Professional	26	$45.07	$80.66	$134.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.94 / $464.83 / $1,017.52	Professional	TC	$244.94	$464.83	$1,017.52