Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.18 / $318.77 / $911.34	Facility		$75.18	$318.77	$911.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $10.06 / $12.15	Facility	26	$7.90	$10.06	$12.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.17 / $204.40 / $422.40	Facility	TC	$23.17	$204.40	$422.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $31.07 / $57.24	Professional		$10.63	$31.07	$57.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.22 / $31.05	Professional	26	$7.03	$8.22	$31.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $22.80 / $39.47	Professional	TC	$17.98	$22.80	$39.47
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 $8.31 / $11.06 / $15.66	Professional	26	$8.31	$11.06	$15.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.07 / $44.16 / $53.38	Professional	50	$38.07	$44.16	$53.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.85 / $31.80 / $46.09	Professional	TC	$21.85	$31.80	$46.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.17 / $180.22 / $351.64	Facility		$38.17	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $36.11 / $61.95	Professional		$23.32	$36.11	$61.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $10.25 / $17.79	Professional	26	$6.97	$10.25	$17.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $23.92 / $42.37	Professional	TC	$16.30	$23.92	$42.37
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $38.58 / $57.38	Facility		$30.31	$38.58	$57.38
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 $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 $28.69 / $35.75 / $48.55	Professional	TC	$28.69	$35.75	$48.55
United Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $182.03 / $182.03	Facility		$182.03	$182.03	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $46.80 / $94.43	Professional		$26.77	$46.80	$94.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.86 / $21.65	Professional	26	$7.94	$13.86	$21.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.75 / $31.71 / $46.90	Professional	TC	$18.75	$31.71	$46.90