Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.91 / $409.45 / $899.02	Facility		$87.91	$409.45	$899.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $12.90 / $24.70	Facility	26	$9.30	$12.90	$24.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.46 / $259.20 / $539.20	Facility	TC	$27.46	$259.20	$539.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $39.15 / $104.16	Professional		$13.20	$39.15	$104.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $12.08 / $31.50	Professional	26	$8.56	$12.08	$31.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.39 / $71.06 / $115.00	Professional	50	$18.39	$71.06	$115.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $27.46 / $46.05	Professional	TC	$19.14	$27.46	$46.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $104.71 / $166.35	Facility		$79.15	$104.71	$166.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $50.51 / $73.20	Professional		$36.14	$50.51	$73.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $12.81 / $18.30	Professional	26	$9.63	$12.81	$18.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.63 / $50.20 / $61.90	Professional	50	$42.63	$50.20	$61.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.15 / $54.90	Professional	TC	$26.30	$38.15	$54.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.21 / $180.22 / $351.64	Facility		$44.21	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $39.61 / $69.11	Professional		$25.47	$39.61	$69.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $12.08 / $20.60	Professional	26	$8.21	$12.08	$20.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.95 / $26.96 / $46.74	Professional	TC	$16.95	$26.96	$46.74
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $44.74 / $71.97	Facility		$35.82	$44.74	$71.97
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $64.79 / $69.19	Professional		$64.79	$64.79	$69.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $56.73 / $77.04	Professional		$45.53	$56.73	$77.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $14.35 / $19.48	Professional	26	$11.52	$14.35	$19.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.00 / $42.36 / $57.53	Professional	TC	$34.00	$42.36	$57.53
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $52.66 / $79.36	Professional		$29.57	$52.66	$79.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $15.86 / $24.35	Professional	26	$9.38	$15.86	$24.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $35.72 / $54.31	Professional	TC	$21.24	$35.72	$54.31