Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $231.71 / $500.38	Facility		$53.93	$231.71	$500.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.25 / $10.51 / $12.69	Facility	26	$8.25	$10.51	$12.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.46 / $188.00 / $427.50	Facility	TC	$27.46	$188.00	$427.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $35.72 / $62.10	Professional		$27.14	$35.72	$62.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $8.27 / $27.94	Professional	26	$7.26	$8.27	$27.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.00 / $120.00 / $138.00	Professional	50	$120.00	$120.00	$138.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.83 / $17.86 / $33.81	Professional	52	$11.83	$17.86	$33.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $25.03 / $44.36	Professional	TC	$20.07	$25.03	$44.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $101.72 / $161.60	Facility		$76.89	$101.72	$161.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $48.85 / $71.84	Professional		$34.04	$48.85	$71.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $11.30 / $16.26	Professional	26	$8.48	$11.30	$16.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.78 / $48.76 / $60.82	Professional	50	$37.78	$48.76	$60.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $38.21 / $55.57	Professional	TC	$25.57	$38.21	$55.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $180.22 / $351.64	Facility		$45.55	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $39.45 / $70.56	Professional		$25.14	$39.45	$70.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $10.75 / $18.54	Professional	26	$7.29	$10.75	$18.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $27.71 / $49.80	Professional	TC	$17.60	$27.71	$49.80
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $42.10 / $64.30	Facility		$33.81	$42.10	$64.30
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $62.94 / $67.31	Professional		$62.94	$62.94	$67.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $55.11 / $74.84	Professional		$44.23	$55.11	$74.84
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 $34.00 / $42.36 / $57.53	Professional	TC	$34.00	$42.36	$57.53
United Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $49.80 / $78.00	Professional		$28.04	$49.80	$78.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $14.03 / $21.65	Professional	26	$8.30	$14.03	$21.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $37.06 / $54.56	Professional	TC	$20.46	$37.06	$54.56