Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $363.13 / $919.88	Facility		$79.73	$363.13	$919.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.02 / $13.78 / $16.97	Facility	26	$11.02	$13.78	$16.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $47.37 / $253.70 / $457.50	Facility	TC	$47.37	$253.70	$457.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $50.55 / $99.89	Professional		$11.18	$50.55	$99.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $11.18 / $37.25	Professional	26	$9.11	$11.18	$37.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $39.61 / $64.06	Professional	TC	$27.55	$39.61	$64.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.02 / $144.24 / $229.14	Facility		$109.02	$144.24	$229.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $69.25 / $99.63	Professional		$45.86	$69.25	$99.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $15.07 / $21.68	Professional	26	$11.14	$15.07	$21.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.08 / $65.77 / $84.30	Professional	50	$49.08	$65.77	$84.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.36 / $53.70 / $77.26	Professional	TC	$37.36	$53.70	$77.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $203.07 / $351.64	Facility		$63.67	$203.07	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $53.60 / $94.28	Professional		$37.18	$53.60	$94.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $14.17 / $24.33	Professional	26	$9.73	$14.17	$24.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.93 / $39.03 / $69.03	Professional	TC	$26.93	$39.03	$69.03
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $47.35 / $60.78 / $97.89	Facility		$47.35	$60.78	$97.89
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $89.24 / $95.66	Professional		$89.24	$89.24	$95.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $78.15 / $106.13	Professional		$62.71	$78.15	$106.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.66 / $17.03 / $23.12	Professional	26	$13.66	$17.03	$23.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $49.05 / $61.12 / $83.01	Professional	TC	$49.05	$61.12	$83.01
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $70.27 / $104.42	Professional		$41.84	$70.27	$104.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.57 / $27.94	Professional	26	$11.48	$18.57	$27.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.30 / $54.59 / $76.48	Professional	TC	$30.30	$54.59	$76.48