Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $238.47 / $602.23	Facility		$76.00	$238.47	$602.23
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 $24.96 / $256.08 / $657.12	Facility	TC	$24.96	$256.08	$657.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.54 / $52.78	Professional		$22.39	$30.54	$52.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.26 / $32.35	Professional	26	$7.03	$8.26	$32.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.20 / $16.61 / $52.59	Professional	52	$11.20	$16.61	$52.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $22.31 / $40.29	Professional	TC	$17.89	$22.31	$40.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.51 / $94.60 / $150.29	Facility		$71.51	$94.60	$150.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $45.36 / $65.73	Professional		$32.58	$45.36	$65.73
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 $37.11 / $45.42 / $56.01	Professional	50	$37.11	$45.42	$56.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.16 / $34.39 / $49.47	Professional	TC	$24.16	$34.39	$49.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $218.04 / $425.44	Facility		$40.85	$218.04	$425.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $36.07 / $64.28	Professional		$23.00	$36.07	$64.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $10.58 / $18.22	Professional	26	$7.01	$10.58	$18.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.99 / $24.90 / $44.68	Professional	TC	$15.99	$24.90	$44.68
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $39.86 / $62.32	Facility		$32.29	$39.86	$62.32
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $58.53 / $62.49	Professional		$58.53	$58.53	$62.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $51.26 / $69.61	Professional		$41.13	$51.26	$69.61
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 $30.90 / $38.51 / $52.29	Professional	TC	$30.90	$38.51	$52.29
United Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $245.18 / $245.18	Facility		$245.18	$245.18	$245.18
United Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $48.31 / $76.70	Professional		$26.65	$48.31	$76.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.86 / $20.93	Professional	26	$7.94	$13.86	$20.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $33.61 / $52.47	Professional	TC	$19.39	$33.61	$52.47