Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $86.26 / $1,100.00	Professional		$56.41	$86.26	$1,100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $32.67 / $617.32	Professional	26	$17.60	$32.67	$617.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.25 / $53.58 / $73.23	Professional	TC	$38.25	$53.58	$73.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $90.48 / $186.39	Professional		$90.48	$90.48	$186.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.12 / $28.12 / $57.94	Professional	26	$28.12	$28.12	$57.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.35 / $62.35 / $128.44	Professional	TC	$62.35	$62.35	$128.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $45.25 / $129.41	Professional		$30.37	$45.25	$129.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $14.12 / $42.00	Professional	26	$9.82	$14.12	$42.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $31.44 / $90.09	Professional	TC	$20.55	$31.44	$90.09
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $74.14 / $97.55 / $141.44	Facility		$74.14	$97.55	$141.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $138.52 / $348.45	Professional		$117.06	$138.52	$348.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.45 / $38.40 / $101.40	Professional	26	$32.45	$38.40	$101.40
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $84.61 / $100.12 / $247.05	Professional	TC	$84.61	$100.12	$247.05
United Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $56.51 / $194.05	Professional		$40.90	$56.51	$194.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $29.22 / $60.96	Professional	26	$13.20	$29.22	$60.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $38.76 / $129.19	Professional	TC	$29.11	$38.76	$129.19