Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.52 / $415.49 / $834.80	Facility		$77.52	$415.49	$834.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.81 / $13.95 / $16.97	Facility	26	$10.81	$13.95	$16.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.85 / $274.39 / $459.50	Facility	TC	$34.85	$274.39	$459.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $45.00 / $107.74	Professional		$33.81	$45.00	$107.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $12.35 / $36.90	Professional	26	$10.02	$12.35	$36.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.69 / $31.04 / $57.36	Professional	TC	$24.69	$31.04	$57.36
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 $42.36 / $58.88 / $84.72	Professional		$42.36	$58.88	$84.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $15.07 / $21.79	Professional	26	$11.42	$15.07	$21.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.67 / $43.02 / $62.35	Professional	TC	$29.67	$43.02	$62.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $218.04 / $425.44	Facility		$50.25	$218.04	$425.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $47.78 / $81.18	Professional		$33.53	$47.78	$81.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $14.34 / $24.42	Professional	26	$9.73	$14.34	$24.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.39 / $32.29 / $54.96	Professional	TC	$23.39	$32.29	$54.96
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $53.46 / $81.30	Facility		$42.07	$53.46	$81.30
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 Professional Modifier Low / Median / High Price $38.22 / $62.07 / $96.55	Professional		$38.22	$62.07	$96.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $18.55 / $28.88	Professional	26	$11.18	$18.55	$28.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $43.31 / $63.76	Professional	TC	$26.74	$43.31	$63.76