Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.52 / $332.89 / $1,109.20	Facility		$77.52	$332.89	$1,109.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.59 / $11.09 / $13.22	Facility	26	$8.59	$11.09	$13.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.01 / $145.52 / $395.50	Facility	TC	$21.01	$145.52	$395.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $29.63 / $55.80	Professional		$24.30	$29.63	$55.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.14 / $29.11	Professional	26	$7.95	$9.14	$29.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $20.00 / $35.10	Professional	TC	$16.35	$20.00	$35.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.78 / $84.38 / $134.05	Facility		$63.78	$84.38	$134.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $40.98 / $58.96	Professional		$29.83	$40.98	$58.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $11.86 / $16.94	Professional	26	$9.03	$11.86	$16.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $28.99 / $42.02	Professional	TC	$20.82	$28.99	$42.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $218.04 / $425.44	Facility		$36.82	$218.04	$425.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $37.61 / $66.09	Professional		$22.56	$37.61	$66.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $11.18 / $19.05	Professional	26	$7.60	$11.18	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $24.49 / $43.93	Professional	TC	$14.70	$24.49	$43.93
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $37.78 / $58.40	Facility		$29.53	$37.78	$58.40
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $52.21 / $55.54	Professional		$52.21	$52.21	$55.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $45.72 / $62.08	Professional		$36.69	$45.72	$62.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $13.27 / $18.02	Professional	26	$10.65	$13.27	$18.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.03 / $32.43 / $44.04	Professional	TC	$26.03	$32.43	$44.04
United Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $45.64 / $68.58	Professional		$27.23	$45.64	$68.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $14.65 / $22.56	Professional	26	$8.66	$14.65	$22.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $31.76 / $47.30	Professional	TC	$18.04	$31.76	$47.30