Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $295.74 / $589.37	Facility		$45.51	$295.74	$589.37
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.59 / $10.88 / $13.22	Facility	26	$8.59	$10.88	$13.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.03 / $180.17 / $435.71	Facility	TC	$26.03	$180.17	$435.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $32.83 / $57.57	Professional		$26.46	$32.83	$57.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.59 / $23.85	Professional	26	$7.33	$8.59	$23.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $23.87 / $42.04	Professional	TC	$19.14	$23.87	$42.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $98.64 / $156.69	Facility		$74.56	$98.64	$156.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $47.70 / $69.13	Professional		$34.26	$47.70	$69.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $11.86 / $17.00	Professional	26	$9.03	$11.86	$17.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.31 / $35.54 / $51.51	Professional	TC	$24.31	$35.54	$51.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $180.22 / $351.64	Facility		$42.19	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $38.78 / $67.50	Professional		$24.93	$38.78	$67.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.08 / $19.27	Professional	26	$7.59	$11.08	$19.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.27 / $25.99 / $47.05	Professional	TC	$17.27	$25.99	$47.05
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $42.34 / $65.59	Facility		$33.75	$42.34	$65.59
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $61.03 / $65.16	Professional		$61.03	$61.03	$65.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $53.44 / $72.58	Professional		$42.89	$53.44	$72.58
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 $32.22 / $40.15 / $54.54	Professional	TC	$32.22	$40.15	$54.54
United Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $50.71 / $75.04	Professional		$29.21	$50.71	$75.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $14.43 / $21.79	Professional	26	$8.59	$14.43	$21.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $36.38 / $59.43	Professional	TC	$20.55	$36.38	$59.43