Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $332.59 / $796.12	Facility		$78.00	$332.59	$796.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $10.08 / $12.15	Facility	26	$7.90	$10.08	$12.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.67 / $220.50 / $424.20	Facility	TC	$25.67	$220.50	$424.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $33.58 / $76.28	Professional		$20.04	$33.58	$76.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.74 / $37.24	Professional	26	$7.33	$9.74	$37.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.42 / $259.50 / $259.50	Professional	50	$70.42	$259.50	$259.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $23.86 / $41.46	Professional	TC	$17.57	$23.86	$41.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.27 / $95.62 / $151.91	Facility		$72.27	$95.62	$151.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $46.30 / $67.09	Professional		$33.25	$46.30	$67.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $11.06 / $15.66	Professional	26	$8.31	$11.06	$15.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.33 / $45.55 / $56.08	Professional	50	$39.33	$45.55	$56.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.40 / $35.07 / $50.83	Professional	TC	$23.40	$35.07	$50.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $180.22 / $351.64	Facility		$42.19	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $36.72 / $65.08	Professional		$23.32	$36.72	$65.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $10.27 / $17.79	Professional	26	$6.98	$10.27	$17.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.66 / $25.63 / $45.71	Professional	TC	$15.66	$25.63	$45.71
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $40.29 / $61.44	Facility		$31.98	$40.29	$61.44
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $59.16 / $59.16 / $63.20	Professional		$59.16	$59.16	$63.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $51.81 / $70.36	Professional		$41.57	$51.81	$70.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $12.20 / $16.57	Professional	26	$9.78	$12.20	$16.57
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.79 / $39.61 / $53.79	Professional	TC	$31.79	$39.61	$53.79
United Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $49.66 / $73.16	Professional		$28.04	$49.66	$73.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $13.28 / $20.75	Professional	26	$8.34	$13.28	$20.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $34.65 / $50.52	Professional	TC	$19.70	$34.65	$50.52