Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,149.00 / $8,734.00	Facility		$1,098.00	$3,149.00	$8,734.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.20 / $126.20 / $126.20	Facility	26	$126.20	$126.20	$126.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.30 / $407.33 / $609.00	Professional		$370.30	$407.33	$609.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.20 / $146.19 / $390.38	Professional	26	$126.20	$146.19	$390.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $237.40 / $248.80 / $406.52	Professional	TC	$237.40	$248.80	$406.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.65 / $588.69 / $812.00	Professional		$448.65	$588.69	$812.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.56 / $181.81 / $250.78	Professional	26	$138.56	$181.81	$250.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $310.08 / $406.87 / $561.21	Professional	TC	$310.08	$406.87	$561.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.60 / $553.72 / $748.92	Professional		$377.60	$553.72	$748.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $150.29 / $185.96 / $251.77	Professional	26	$150.29	$185.96	$251.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.08 / $364.94 / $494.27	Professional	TC	$225.08	$364.94	$494.27
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $486.78 / $639.15	Facility		$375.00	$486.78	$639.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.73 / $560.02 / $713.95	Professional		$450.73	$560.02	$713.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $151.69 / $186.88 / $240.27	Professional	26	$151.69	$186.88	$240.27
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $299.04 / $377.98 / $473.68	Professional	TC	$299.04	$377.98	$473.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,361.00 / $2,537.00 / $3,847.00	Facility		$1,361.00	$2,537.00	$3,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.88 / $558.37 / $1,116.73	Professional		$403.88	$558.37	$1,116.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $153.72 / $211.34 / $553.78	Professional	26	$153.72	$211.34	$553.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $246.32 / $366.84 / $632.47	Professional	TC	$246.32	$366.84	$632.47