Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.54 / $346.99 / $801.55	Facility		$87.54	$346.99	$801.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.66 / $13.33 / $16.41	Facility	26	$10.66	$13.33	$16.41
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.44 / $260.50 / $594.95	Facility	TC	$34.44	$260.50	$594.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $37.15 / $77.00	Professional		$27.66	$37.15	$77.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.75 / $44.00	Professional	26	$9.77	$14.75	$44.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $24.96 / $41.33	Professional	TC	$17.92	$24.96	$41.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $101.48 / $161.22	Facility		$76.70	$101.48	$161.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $49.46 / $71.16	Professional		$35.58	$49.46	$71.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $14.75 / $21.11	Professional	26	$10.84	$14.75	$21.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.73 / $34.39 / $49.47	Professional	TC	$24.73	$34.39	$49.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $203.07 / $351.64	Facility		$40.85	$203.07	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $39.09 / $68.26	Professional		$27.52	$39.09	$68.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $13.67 / $22.87	Professional	26	$9.42	$13.67	$22.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $25.10 / $44.26	Professional	TC	$17.60	$25.10	$44.26
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $42.76 / $70.58	Facility		$32.93	$42.76	$70.58
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $62.79 / $66.79	Professional		$62.79	$62.79	$66.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $54.98 / $74.67	Professional		$44.12	$54.98	$74.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $16.48 / $20.34	Professional	26	$13.22	$16.48	$20.34
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.51 / $47.54	Professional	TC	$30.90	$38.51	$47.54
United Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $53.12 / $79.64	Professional		$31.02	$53.12	$79.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $18.35 / $38.39	Professional	26	$11.13	$18.35	$38.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.84 / $35.74 / $71.11	Professional	TC	$19.84	$35.74	$71.11