Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $223.45 / $443.20	Facility		$51.71	$223.45	$443.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $9.67 / $12.69	Facility	26	$7.90	$9.67	$12.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.03 / $142.82 / $402.96	Facility	TC	$26.03	$142.82	$402.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $32.47 / $65.27	Professional		$23.79	$32.47	$65.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.22 / $26.30	Professional	26	$7.03	$8.22	$26.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.64 / $16.97 / $37.61	Professional	52	$11.64	$16.97	$37.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $23.10 / $42.04	Professional	TC	$18.53	$23.10	$42.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $96.64 / $153.52	Facility		$73.04	$96.64	$153.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $47.70 / $69.13	Professional		$33.63	$47.70	$69.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $11.38 / $16.34	Professional	26	$8.31	$11.38	$16.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.29 / $46.37 / $58.78	Professional	50	$37.29	$46.37	$58.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.07 / $36.01 / $52.19	Professional	TC	$25.07	$36.01	$52.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $180.22 / $351.64	Facility		$43.54	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $37.95 / $67.95	Professional		$23.32	$37.95	$67.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $10.27 / $17.93	Professional	26	$6.97	$10.27	$17.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $26.35 / $47.24	Professional	TC	$16.30	$26.35	$47.24
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $40.72 / $64.30	Facility		$32.97	$40.72	$64.30
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $59.79 / $63.88	Professional		$59.79	$59.79	$63.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $52.36 / $71.09	Professional		$42.02	$52.36	$71.09
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 $32.22 / $40.15 / $54.54	Professional	TC	$32.22	$40.15	$54.54
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 $27.29 / $49.57 / $75.58	Professional		$27.29	$49.57	$75.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.79 / $21.65	Professional	26	$7.76	$13.79	$21.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $36.01 / $61.31	Professional	TC	$19.70	$36.01	$61.31