Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.51 / $68.51 / $68.51	Facility	26	$68.51	$68.51	$68.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.05 / $464.36 / $725.20	Professional		$416.05	$464.36	$725.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $68.51 / $171.00	Professional	26	$64.28	$68.51	$171.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $351.09 / $399.61 / $622.12	Professional	TC	$351.09	$399.61	$622.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.10 / $647.88 / $946.20	Professional		$473.10	$647.88	$946.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.83 / $93.74 / $136.91	Professional	26	$69.83	$93.74	$136.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $404.87 / $554.13 / $809.29	Professional	TC	$404.87	$554.13	$809.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.78 / $658.06 / $1,001.70	Professional		$457.78	$658.06	$1,001.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.39 / $88.87 / $141.05	Professional	26	$65.39	$88.87	$141.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $390.22 / $558.53 / $851.04	Professional	TC	$390.22	$558.53	$851.04
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $798.05 / $798.05 / $859.84	Professional		$798.05	$798.05	$859.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.38 / $681.58 / $870.58	Professional		$431.38	$681.58	$870.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $65.25 / $103.10 / $125.82	Professional	26	$65.25	$103.10	$125.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $366.13 / $578.49 / $706.63	Professional	TC	$366.13	$578.49	$706.63
United Facility/Professional Professional Modifier Low / Median / High Price $431.34 / $773.84 / $1,269.45	Professional		$431.34	$773.84	$1,269.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.54 / $117.79 / $184.05	Professional	26	$62.54	$117.79	$184.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $368.80 / $697.74 / $1,085.40	Professional	TC	$368.80	$697.74	$1,085.40