Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $148.56 / $783.82	Facility		$48.17	$148.56	$783.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.02 / $11.03 / $14.55	Facility	26	$11.02	$11.03	$14.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $35.61 / $61.61	Professional		$25.34	$35.61	$61.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $11.03 / $35.04	Professional	26	$9.41	$11.03	$35.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $24.65 / $44.93	Professional	TC	$19.76	$24.65	$44.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $110.63 / $175.75	Facility		$83.62	$110.63	$175.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $54.17 / $77.94	Professional		$38.61	$54.17	$77.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $15.18 / $21.68	Professional	26	$11.20	$15.18	$21.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.89 / $38.81 / $56.25	Professional	TC	$25.89	$38.81	$56.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $180.22 / $351.64	Facility		$45.55	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $43.38 / $75.20	Professional		$27.84	$43.38	$75.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $14.22 / $24.75	Professional	26	$9.46	$14.22	$24.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $28.50 / $50.28	Professional	TC	$17.92	$28.50	$50.28
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $46.95 / $70.40	Facility		$37.50	$46.95	$70.40
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $72.95	Professional		$68.45	$68.45	$72.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $59.94 / $81.40	Professional		$48.10	$59.94	$81.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.66 / $17.03 / $23.12	Professional	26	$13.66	$17.03	$23.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.44 / $42.91 / $58.28	Professional	TC	$34.44	$42.91	$58.28
United Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $55.20 / $77.94	Professional		$32.94	$55.20	$77.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $18.89 / $37.31	Professional	26	$11.11	$18.89	$37.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $39.26 / $54.54	Professional	TC	$21.90	$39.26	$54.54