Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.52 / $323.60 / $683.83	Facility		$77.52	$323.60	$683.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $10.48 / $13.23	Facility	26	$7.90	$10.48	$13.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.03 / $205.74 / $394.96	Facility	TC	$26.03	$205.74	$394.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $32.14 / $54.22	Professional		$22.44	$32.14	$54.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $8.13 / $27.20	Professional	26	$7.42	$8.13	$27.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.48 / $43.13	Professional	TC	$18.82	$23.48	$43.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $96.64 / $153.52	Facility		$73.04	$96.64	$153.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $47.23 / $68.45	Professional		$33.92	$47.23	$68.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $11.38 / $16.26	Professional	26	$8.31	$11.38	$16.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.02 / $35.79 / $51.51	Professional	TC	$25.02	$35.79	$51.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $180.22 / $351.64	Facility		$42.86	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $39.03 / $67.09	Professional		$24.82	$39.03	$67.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $10.68 / $17.93	Professional	26	$6.98	$10.68	$17.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.95 / $26.37 / $47.14	Professional	TC	$16.95	$26.37	$47.14
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $42.14 / $63.49	Facility		$33.06	$42.14	$63.49
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $59.79 / $63.88	Professional		$59.79	$59.79	$63.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $52.36 / $71.09	Professional		$42.02	$52.36	$71.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $12.20 / $16.57	Professional	26	$9.78	$12.20	$16.57
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 $29.07 / $48.75 / $68.59	Professional		$29.07	$48.75	$68.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.86 / $21.65	Professional	26	$8.51	$13.86	$21.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.84 / $36.96 / $51.32	Professional	TC	$20.84	$36.96	$51.32