Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.52 / $269.99 / $881.11	Facility		$77.52	$269.99	$881.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $13.75	Facility	26	$8.94	$8.94	$13.75
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.89 / $232.41 / $397.63	Facility	TC	$28.89	$232.41	$397.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $36.08 / $100.11	Professional		$12.36	$36.08	$100.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $8.94 / $36.39	Professional	26	$7.88	$8.94	$36.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $24.79 / $46.67	Professional	TC	$20.96	$24.79	$46.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $107.76 / $171.19	Facility		$81.45	$107.76	$171.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $52.29 / $75.23	Professional		$35.11	$52.29	$75.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $12.33 / $17.62	Professional	26	$9.02	$12.33	$17.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.44 / $51.15 / $63.07	Professional	50	$41.44	$51.15	$63.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.82 / $40.04 / $57.61	Professional	TC	$27.82	$40.04	$57.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $203.07 / $351.64	Facility		$47.56	$203.07	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $42.06 / $73.83	Professional		$29.12	$42.06	$73.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $11.62 / $20.07	Professional	26	$7.89	$11.62	$20.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.49 / $29.74 / $52.12	Professional	TC	$20.49	$29.74	$52.12
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $35.76 / $45.41 / $74.50	Facility		$35.76	$45.41	$74.50
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $66.67 / $71.26	Professional		$66.67	$66.67	$71.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $58.38 / $79.29	Professional		$46.85	$58.38	$79.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $13.80 / $18.73	Professional	26	$11.08	$13.80	$18.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $35.78 / $44.58 / $60.54	Professional	TC	$35.78	$44.58	$60.54
United Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $56.02 / $83.43	Professional		$32.82	$56.02	$83.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $15.07 / $23.45	Professional	26	$9.67	$15.07	$23.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.08 / $41.60 / $82.80	Professional	TC	$23.08	$41.60	$82.80