Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.49 / $330.06 / $685.02	Facility		$88.49	$330.06	$685.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.59 / $10.92 / $13.22	Facility	26	$8.59	$10.92	$13.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.79 / $247.39 / $672.60	Facility	TC	$30.79	$247.39	$672.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $38.69 / $113.01	Professional		$25.20	$38.69	$113.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.96 / $29.11	Professional	26	$7.33	$9.96	$29.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.14 / $79.14 / $79.14	Professional	50	$79.14	$79.14	$79.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.57 / $27.43 / $49.06	Professional	TC	$21.57	$27.43	$49.06
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 $34.56 / $48.05 / $69.13	Professional		$34.56	$48.05	$69.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $11.77 / $16.94	Professional	26	$9.03	$11.77	$16.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.79 / $51.72 / $60.64	Professional	50	$42.79	$51.72	$60.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.75 / $35.79 / $51.51	Professional	TC	$25.75	$35.79	$51.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $180.22 / $351.64	Facility		$41.52	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $42.36 / $70.78	Professional		$28.93	$42.36	$70.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.08 / $18.98	Professional	26	$7.59	$11.08	$18.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $28.46 / $47.65	Professional	TC	$20.60	$28.46	$47.65
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $34.64 / $44.34 / $65.73	Facility		$34.64	$44.34	$65.73
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 $32.97 / $51.81 / $78.50	Professional		$32.97	$51.81	$78.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.50 / $22.55	Professional	26	$8.51	$14.50	$22.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $36.36 / $56.40	Professional	TC	$24.90	$36.36	$56.40