Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $132.87 / $195.86	Professional		$107.20	$132.87	$195.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.06 / $28.09 / $38.95	Professional	26	$24.06	$28.09	$38.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.16 / $102.64 / $156.91	Professional	TC	$82.16	$102.64	$156.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.90 / $176.90 / $364.40	Professional		$176.90	$176.90	$364.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.29 / $38.29 / $78.88	Professional	26	$38.29	$38.29	$78.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.61 / $138.61 / $285.52	Professional	TC	$138.61	$138.61	$285.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $86.70 / $252.99	Professional		$52.63	$86.70	$252.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $19.71 / $68.02	Professional	26	$18.07	$19.71	$68.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.56 / $67.54 / $198.32	Professional	TC	$34.56	$67.54	$198.32
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $132.87 / $174.83 / $254.73	Facility		$132.87	$174.83	$254.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.80 / $248.26 / $666.45	Professional		$209.80	$248.26	$666.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.34 / $52.47 / $139.04	Professional	26	$44.34	$52.47	$139.04
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $165.44 / $195.78 / $527.45	Professional	TC	$165.44	$195.78	$527.45
United Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $105.24 / $361.37	Professional		$70.76	$105.24	$361.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.83 / $25.47 / $82.54	Professional	26	$22.83	$25.47	$82.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.53 / $81.48 / $270.68	Professional	TC	$46.53	$81.48	$270.68