Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.13 / $57.13 / $72.76	Facility	26	$57.13	$57.13	$72.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $185.94 / $294.18	Professional		$162.22	$185.94	$294.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $57.13 / $183.03	Professional	26	$51.54	$57.13	$183.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.96 / $128.80 / $208.15	Professional	TC	$108.96	$128.80	$208.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.33 / $250.14 / $365.33	Professional		$186.33	$250.14	$365.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.66 / $77.50 / $113.19	Professional	26	$59.66	$77.50	$113.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.60 / $172.64 / $252.14	Professional	TC	$128.60	$172.64	$252.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.26 / $254.23 / $402.03	Professional		$158.26	$254.23	$402.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.16 / $74.86 / $118.14	Professional	26	$54.16	$74.86	$118.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.10 / $168.46 / $257.63	Professional	TC	$104.10	$168.46	$257.63
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $327.60 / $348.39	Professional		$327.60	$327.60	$348.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.08 / $279.79 / $345.31	Professional		$177.08	$279.79	$345.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.41 / $85.97 / $106.10	Professional	26	$54.41	$85.97	$106.10
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $122.67 / $193.82 / $239.21	Professional	TC	$122.67	$193.82	$239.21
United Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $283.11 / $438.38	Professional		$163.71	$283.11	$438.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.13 / $97.44 / $166.48	Professional	26	$51.13	$97.44	$166.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.98 / $193.80 / $305.85	Professional	TC	$110.98	$193.80	$305.85