Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.54 / $342.11 / $810.21	Facility		$87.54	$342.11	$810.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.59 / $10.94 / $13.22	Facility	26	$8.59	$10.94	$13.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.32 / $254.73 / $650.62	Facility	TC	$35.32	$254.73	$650.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $45.44 / $101.70	Professional		$11.89	$45.44	$101.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $11.18 / $33.36	Professional	26	$7.63	$11.18	$33.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.23 / $299.48 / $299.48	Professional	50	$223.23	$299.48	$299.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $35.32 / $57.10	Professional	TC	$25.37	$35.32	$57.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.56 / $125.10 / $198.74	Facility		$94.56	$125.10	$198.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $58.99 / $86.75	Professional		$40.44	$58.99	$86.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $11.86 / $17.03	Professional	26	$9.03	$11.86	$17.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.40 / $59.28 / $73.09	Professional	50	$42.40	$59.28	$73.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.60 / $47.47 / $69.81	Professional	TC	$30.60	$47.47	$69.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.29 / $180.22 / $351.64	Facility		$56.29	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $44.48 / $81.13	Professional		$29.76	$44.48	$81.13
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 $22.10 / $32.59 / $60.98	Professional	TC	$22.10	$32.59	$60.98
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $51.13 / $79.80	Facility		$39.18	$51.13	$79.80
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $77.40 / $83.05	Professional		$77.40	$77.40	$83.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $67.78 / $92.05	Professional		$54.39	$67.78	$92.05
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 $43.75 / $54.51 / $74.03	Professional	TC	$43.75	$54.51	$74.03
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $62.94 / $89.70	Professional		$33.18	$62.94	$89.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.43 / $23.58	Professional	26	$8.51	$14.43	$23.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $48.11 / $67.44	Professional	TC	$24.52	$48.11	$67.44