Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $212.73 / $1,132.99	Facility		$65.78	$212.73	$1,132.99
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.02 / $11.02 / $14.33	Facility	26	$11.02	$11.02	$14.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.82 / $236.70 / $544.12	Facility	TC	$32.82	$236.70	$544.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $43.11 / $69.70	Professional		$34.90	$43.11	$69.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $11.03 / $28.78	Professional	26	$9.71	$11.03	$28.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $38.29	Professional	50	$38.29	$38.29	$38.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.60 / $17.60 / $17.60	Professional	52	$17.60	$17.60	$17.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.80 / $30.22 / $53.05	Professional	TC	$24.80	$30.22	$53.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.40 / $124.89 / $198.41	Facility		$94.40	$124.89	$198.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $60.77 / $87.43	Professional		$42.77	$60.77	$87.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $15.18 / $21.68	Professional	26	$11.32	$15.18	$21.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.91 / $62.19 / $73.09	Professional	50	$53.91	$62.19	$73.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.49 / $45.22 / $65.06	Professional	TC	$31.49	$45.22	$65.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.60 / $245.69 / $425.44	Facility		$53.60	$245.69	$425.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $49.16 / $85.10	Professional		$35.57	$49.16	$85.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $14.32 / $24.78	Professional	26	$9.73	$14.32	$24.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $34.72 / $59.61	Professional	TC	$25.00	$34.72	$59.61
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $52.63 / $86.40	Facility		$41.77	$52.63	$86.40
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $77.27 / $82.60	Professional		$77.27	$77.27	$82.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $67.67 / $91.89	Professional		$54.30	$67.67	$91.89
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 $40.64 / $50.64 / $68.77	Professional	TC	$40.64	$50.64	$68.77
United Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $66.29 / $99.86	Professional		$40.03	$66.29	$99.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $18.55 / $28.85	Professional	26	$11.82	$18.55	$28.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.13 / $46.40 / $71.01	Professional	TC	$28.13	$46.40	$71.01