Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.08 / $723.80 / $1,369.81	Facility		$154.08	$723.80	$1,369.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.46 / $29.13 / $61.06	Facility	26	$22.46	$29.13	$61.06
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $110.24 / $530.41 / $1,169.18	Facility	TC	$110.24	$530.41	$1,169.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $132.71 / $222.59	Professional		$74.62	$132.71	$222.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $24.94 / $72.63	Professional	26	$20.03	$24.94	$72.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.51 / $110.24 / $183.21	Professional	TC	$90.51	$110.24	$183.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $126.07 / $126.07	Professional		$126.07	$126.07	$126.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $21.35 / $23.64	Professional	26	$21.35	$21.35	$23.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.72 / $104.72 / $104.72	Professional	TC	$104.72	$104.72	$104.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.36 / $264.83 / $425.44	Facility		$106.36	$264.83	$425.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.98 / $23.98 / $23.98	Facility	26	$23.98	$23.98	$23.98
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $109.98 / $109.98 / $109.98	Facility	TC	$109.98	$109.98	$109.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $187.04 / $288.05	Professional		$128.32	$187.04	$288.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.51 / $30.88 / $50.89	Professional	26	$22.51	$30.88	$50.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.29 / $155.38 / $237.29	Professional	TC	$104.29	$155.38	$237.29
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $172.52 / $251.27	Facility		$126.07	$172.52	$251.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $184.11 / $263.01	Professional		$149.44	$184.11	$263.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $31.17 / $44.53	Professional	26	$25.30	$31.17	$44.53
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $124.14 / $152.94 / $218.48	Professional	TC	$124.14	$152.94	$218.48
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $203.85 / $284.26	Professional		$136.80	$203.85	$284.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $35.20 / $55.15	Professional	26	$24.70	$35.20	$55.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.26 / $173.51 / $259.74	Professional	TC	$105.26	$173.51	$259.74