Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $307.55 / $737.25	Facility		$79.06	$307.55	$737.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $12.35 / $439.43	Facility	26	$8.94	$12.35	$439.43
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.14 / $263.14 / $716.45	Facility	TC	$23.14	$263.14	$716.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.65 / $43.36	Professional		$17.78	$23.65	$43.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.33 / $35.00	Professional	26	$8.08	$9.33	$35.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $14.71 / $29.88	Professional	TC	$9.69	$14.71	$29.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.12 / $78.22 / $124.26	Facility		$59.12	$78.22	$124.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $37.88 / $54.90	Professional		$27.23	$37.88	$54.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $12.33 / $17.62	Professional	26	$8.98	$12.33	$17.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $25.25 / $36.60	Professional	TC	$17.39	$25.25	$36.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $203.07 / $351.64	Facility		$30.79	$203.07	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $27.31 / $50.20	Professional		$17.85	$27.31	$50.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.48 / $19.16	Professional	26	$7.58	$11.48	$19.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $16.57 / $32.36	Professional	TC	$9.55	$16.57	$32.36
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $32.96 / $54.56	Facility		$25.45	$32.96	$54.56
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $48.40 / $51.32	Professional		$48.40	$48.40	$51.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $42.38 / $57.55	Professional		$34.01	$42.38	$57.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $13.80 / $17.04	Professional	26	$11.08	$13.80	$17.04
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.93 / $28.58 / $35.28	Professional	TC	$22.93	$28.58	$35.28
United Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $182.03 / $182.03	Facility		$182.03	$182.03	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $41.52 / $83.93	Professional		$20.20	$41.52	$83.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $15.01 / $23.45	Professional	26	$9.38	$15.01	$23.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $24.07 / $35.85	Professional	TC	$10.82	$24.07	$35.85