Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $91.36 / $396.48	Professional		$75.84	$91.36	$396.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.79 / $42.51 / $436.71	Professional	26	$25.79	$42.51	$436.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.05 / $61.29 / $94.88	Professional	TC	$50.05	$61.29	$94.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $123.69 / $254.80	Professional		$123.69	$123.69	$254.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.68 / $41.68 / $85.86	Professional	26	$41.68	$41.68	$85.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.01 / $82.01 / $168.94	Professional	TC	$82.01	$82.01	$168.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $65.25 / $197.52	Professional		$52.56	$65.25	$197.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $27.75 / $89.75	Professional	26	$19.98	$27.75	$89.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.92 / $40.54 / $117.41	Professional	TC	$28.92	$40.54	$117.41
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $146.18 / $174.48	Facility		$106.97	$146.18	$174.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $170.70 / $461.66	Professional		$144.25	$170.70	$461.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.47 / $56.18 / $150.22	Professional	26	$47.47	$56.18	$150.22
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $96.78 / $114.52 / $311.44	Professional	TC	$96.78	$114.52	$311.44
United Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $85.27 / $257.45	Professional		$71.20	$85.27	$257.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.60 / $34.45 / $101.95	Professional	26	$24.60	$34.45	$101.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.95 / $50.82 / $166.74	Professional	TC	$38.95	$50.82	$166.74