Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $131.18 / $466.94	Professional		$95.58	$131.18	$466.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.38 / $57.22 / $702.40	Professional	26	$43.38	$57.22	$702.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $72.88 / $95.67	Professional	TC	$50.22	$72.88	$95.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $101.04 / $346.95	Professional		$101.04	$101.04	$346.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.87 / $41.87 / $143.80	Professional	26	$41.87	$41.87	$143.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.16 / $59.16 / $203.14	Professional	TC	$59.16	$59.16	$203.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $84.26 / $245.00	Professional		$58.56	$84.26	$245.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.44 / $44.68 / $140.00	Professional	26	$30.44	$44.68	$140.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.12 / $43.01 / $140.96	Professional	TC	$28.12	$43.01	$140.96
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $179.99 / $241.65	Facility		$130.10	$179.99	$241.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $245.11 / $640.22	Professional		$207.13	$245.11	$640.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $79.95 / $94.61 / $253.02	Professional	26	$79.95	$94.61	$253.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $127.18 / $150.49 / $387.19	Professional	TC	$127.18	$150.49	$387.19
United Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $100.26 / $314.70	Professional		$78.98	$100.26	$314.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $44.58 / $152.41	Professional	26	$39.79	$44.58	$152.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.65 / $59.92 / $166.74	Professional	TC	$38.65	$59.92	$166.74