Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $289.39 / $691.12	Facility		$51.62	$289.39	$691.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.99 / $12.72 / $16.94	Facility	26	$9.99	$12.72	$16.94
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.96 / $175.49 / $544.02	Facility	TC	$24.96	$175.49	$544.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $34.95 / $64.01	Professional		$28.71	$34.95	$64.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.34 / $11.36 / $33.77	Professional	26	$9.34	$11.36	$33.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $24.96 / $43.05	Professional	TC	$19.57	$24.96	$43.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $99.51 / $158.08	Facility		$75.20	$99.51	$158.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $48.52 / $69.81	Professional		$35.01	$48.52	$69.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $13.95 / $19.64	Professional	26	$10.48	$13.95	$19.64
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 $40.18 / $218.04 / $425.44	Facility		$40.18	$218.04	$425.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $43.70 / $75.72	Professional		$28.81	$43.70	$75.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $13.83 / $23.70	Professional	26	$8.92	$13.83	$23.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.88 / $28.50 / $48.10	Professional	TC	$18.88	$28.50	$48.10
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $45.99 / $69.09	Facility		$34.95	$45.99	$69.09
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $65.58	Professional		$61.57	$61.57	$65.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $53.91 / $73.22	Professional		$43.26	$53.91	$73.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.36 / $15.41 / $20.92	Professional	26	$12.36	$15.41	$20.92
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.51 / $52.29	Professional	TC	$30.90	$38.51	$52.29
United Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $52.03 / $76.68	Professional		$33.54	$52.03	$76.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $16.75 / $26.73	Professional	26	$10.35	$16.75	$26.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $35.57 / $54.12	Professional	TC	$22.36	$35.57	$54.12