Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.52 / $268.06 / $678.42	Facility		$77.52	$268.06	$678.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.25 / $10.51 / $12.69	Facility	26	$8.25	$10.51	$12.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.82 / $245.08 / $576.00	Facility	TC	$27.82	$245.08	$576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $36.08 / $103.40	Professional		$11.13	$36.08	$103.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $11.13 / $38.03	Professional	26	$7.87	$11.13	$38.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.25 / $104.52 / $120.00	Professional	50	$75.25	$104.52	$120.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.81 / $17.25 / $23.91	Professional	52	$11.81	$17.25	$23.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $24.25 / $44.93	Professional	TC	$19.46	$24.25	$44.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $102.74 / $163.21	Facility		$77.65	$102.74	$163.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $50.04 / $72.52	Professional		$33.89	$50.04	$72.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $11.54 / $16.34	Professional	26	$8.67	$11.54	$16.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $49.24 / $61.50	Professional	50	$39.81	$49.24	$61.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.00 / $38.81 / $56.25	Professional	TC	$27.00	$38.81	$56.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $180.22 / $351.64	Facility		$46.89	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $40.65 / $71.36	Professional		$24.82	$40.65	$71.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $10.75 / $18.47	Professional	26	$7.39	$10.75	$18.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.95 / $28.08 / $49.75	Professional	TC	$16.95	$28.08	$49.75
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $42.95 / $69.12	Facility		$34.36	$42.95	$69.12
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $63.57 / $68.01	Professional		$63.57	$63.57	$68.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $55.66 / $75.59	Professional		$44.67	$55.66	$75.59
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 $34.44 / $42.91 / $58.28	Professional	TC	$34.44	$42.91	$58.28
United Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $182.03 / $182.03	Facility		$182.03	$182.03	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $52.20 / $73.48	Professional		$28.81	$52.20	$73.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $14.29 / $27.98	Professional	26	$8.59	$14.29	$27.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $38.88 / $57.59	Professional	TC	$20.47	$38.88	$57.59