Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $389.13 / $748.73	Facility		$62.60	$389.13	$748.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.02 / $14.05 / $16.97	Facility	26	$11.02	$14.05	$16.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.04 / $173.98 / $394.96	Facility	TC	$31.04	$173.98	$394.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $43.43 / $89.69	Professional		$35.10	$43.43	$89.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $11.82 / $35.04	Professional	26	$9.50	$11.82	$35.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.04 / $31.04 / $53.98	Professional	TC	$24.04	$31.04	$53.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.56 / $119.81 / $190.33	Facility		$90.56	$119.81	$190.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $57.52 / $83.36	Professional		$41.54	$57.52	$83.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $15.18 / $21.68	Professional	26	$11.32	$15.18	$21.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.93 / $42.56 / $61.67	Professional	TC	$29.93	$42.56	$61.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $180.22 / $351.64	Facility		$50.25	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $46.24 / $81.18	Professional		$31.79	$46.24	$81.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $14.26 / $24.42	Professional	26	$9.73	$14.26	$24.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $31.32 / $54.96	Professional	TC	$21.78	$31.32	$54.96
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $51.83 / $78.11	Facility		$40.13	$51.83	$78.11
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $79.16	Professional		$74.13	$74.13	$79.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $64.91 / $88.15	Professional		$52.09	$64.91	$88.15
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 $38.43 / $47.89 / $65.03	Professional	TC	$38.43	$47.89	$65.03
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 $36.38 / $60.45 / $91.76	Professional		$36.38	$60.45	$91.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $18.91 / $28.68	Professional	26	$11.18	$18.91	$28.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.25 / $41.24 / $60.20	Professional	TC	$25.25	$41.24	$60.20