Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $264.80 / $692.63	Facility		$46.88	$264.80	$692.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $15.78	Facility	26	$8.94	$8.94	$15.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.25 / $210.89 / $402.48	Facility	TC	$29.25	$210.89	$402.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $37.21 / $60.75	Professional		$29.82	$37.21	$60.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $11.28 / $40.82	Professional	26	$8.36	$11.28	$40.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $26.31 / $47.26	Professional	TC	$21.91	$26.31	$47.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $108.78 / $172.81	Facility		$82.22	$108.78	$172.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $52.76 / $75.91	Professional		$37.95	$52.76	$75.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $12.77 / $19.64	Professional	26	$9.40	$12.77	$19.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.88 / $40.51 / $58.29	Professional	TC	$28.88	$40.51	$58.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $218.04 / $425.44	Facility		$47.56	$218.04	$425.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $46.24 / $81.25	Professional		$30.75	$46.24	$81.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $12.85 / $25.38	Professional	26	$8.00	$12.85	$25.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $30.19 / $52.98	Professional	TC	$20.17	$30.19	$52.98
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $48.90 / $73.25	Facility		$38.20	$48.90	$73.25
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $67.30 / $71.95	Professional		$67.30	$67.30	$71.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $58.94 / $80.04	Professional		$47.29	$58.94	$80.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $13.80 / $18.73	Professional	26	$11.08	$13.80	$18.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.22 / $45.13 / $61.29	Professional	TC	$36.22	$45.13	$61.29
United Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $58.47 / $86.00	Professional		$35.71	$58.47	$86.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $17.17 / $30.67	Professional	26	$11.00	$17.17	$30.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.29 / $40.99 / $66.95	Professional	TC	$24.29	$40.99	$66.95