Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $236.64 / $466.50	Facility		$73.43	$236.64	$466.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.25 / $8.26 / $10.73	Facility	26	$8.25	$8.26	$10.73
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.80 / $223.20 / $395.14	Facility	TC	$22.80	$223.20	$395.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $31.00 / $51.88	Professional		$11.13	$31.00	$51.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.26 / $26.78	Professional	26	$6.74	$8.26	$26.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $22.80 / $36.82	Professional	TC	$17.18	$22.80	$36.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $88.47 / $140.55	Facility		$66.87	$88.47	$140.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $42.87 / $61.67	Professional		$30.83	$42.87	$61.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $11.30 / $16.26	Professional	26	$8.22	$11.30	$16.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.42 / $43.38 / $51.87	Professional	50	$37.42	$43.38	$51.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $31.33 / $45.41	Professional	TC	$22.63	$31.33	$45.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $180.22 / $351.64	Facility		$37.50	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $37.04 / $61.60	Professional		$23.32	$37.04	$61.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $10.13 / $17.52	Professional	26	$6.69	$10.13	$17.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.63 / $24.95 / $41.85	Professional	TC	$16.63	$24.95	$41.85
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $31.07 / $38.25 / $57.17	Facility		$31.07	$38.25	$57.17
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $54.74 / $58.37	Professional		$54.74	$54.74	$58.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $47.94 / $65.09	Professional		$38.47	$47.94	$65.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.75 / $17.30	Professional	26	$10.23	$12.75	$17.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.25 / $35.20 / $47.81	Professional	TC	$28.25	$35.20	$47.81
United Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $182.03	Facility		$38.54	$38.54	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $46.19 / $69.02	Professional		$27.21	$46.19	$69.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $14.03 / $27.98	Professional	26	$7.58	$14.03	$27.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $32.47 / $52.82	Professional	TC	$19.38	$32.47	$52.82