Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $126.72 / $181.59	Professional		$107.01	$126.72	$181.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $22.17 / $31.22	Professional	26	$11.77	$22.17	$31.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.20 / $108.37 / $152.22	Professional	TC	$95.20	$108.37	$152.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $154.53 / $154.53	Professional		$129.22	$154.53	$154.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $23.04 / $23.04	Professional	26	$18.80	$23.04	$23.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $115.37 / $131.49 / $131.49	Professional	TC	$115.37	$131.49	$131.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $147.68 / $147.68	Facility		$147.68	$147.68	$147.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.75 / $26.75 / $26.75	Facility	26	$26.75	$26.75	$26.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $224.33 / $310.98	Professional		$157.61	$224.33	$310.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.90 / $28.16 / $48.12	Professional	26	$14.90	$28.16	$48.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.13 / $195.25 / $273.54	Professional	TC	$134.13	$195.25	$273.54
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $126.22 / $180.58 / $283.00	Facility		$126.22	$180.58	$283.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.82 / $193.95 / $267.52	Professional		$153.82	$193.95	$267.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.21 / $31.78 / $43.84	Professional	26	$25.21	$31.78	$43.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $128.62 / $159.93 / $223.68	Professional	TC	$128.62	$159.93	$223.68
United Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $234.48 / $342.16	Professional		$158.43	$234.48	$342.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.52 / $31.24 / $49.45	Professional	26	$14.52	$31.24	$49.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.44 / $205.86 / $312.80	Professional	TC	$139.44	$205.86	$312.80