Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $342.16 / $778.55	Facility		$79.06	$342.16	$778.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.59 / $10.94 / $86.16	Facility	26	$8.59	$10.94	$86.16
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.96 / $265.33 / $448.94	Facility	TC	$29.96	$265.33	$448.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $43.23 / $106.20	Professional		$17.72	$43.23	$106.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $11.58 / $46.48	Professional	26	$7.33	$11.58	$46.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.23 / $112.99 / $112.99	Professional	50	$17.23	$112.99	$112.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.04 / $18.61 / $22.11	Professional	52	$12.04	$18.61	$22.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $29.96 / $48.42	Professional	TC	$21.94	$29.96	$48.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.01 / $109.82 / $174.47	Facility		$83.01	$109.82	$174.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $53.00 / $77.94	Professional		$36.44	$53.00	$77.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $12.03 / $17.03	Professional	26	$9.03	$12.03	$17.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.43 / $52.58 / $64.84	Professional	50	$41.43	$52.58	$64.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.00 / $41.48 / $61.00	Professional	TC	$27.00	$41.48	$61.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $180.22 / $351.64	Facility		$48.90	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $42.00 / $73.77	Professional		$26.86	$42.00	$73.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.08 / $18.98	Professional	26	$7.59	$11.08	$18.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.21 / $29.70 / $53.40	Professional	TC	$19.21	$29.70	$53.40
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $45.91 / $69.43	Facility		$36.40	$45.91	$69.43
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $67.95 / $72.72	Professional		$67.95	$67.95	$72.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $59.50 / $80.81	Professional		$47.75	$59.50	$80.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $13.27 / $18.02	Professional	26	$10.65	$13.27	$18.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $46.23 / $62.79	Professional	TC	$37.10	$46.23	$62.79
United Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $47.66 / $182.03	Facility		$47.66	$47.66	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $56.55 / $83.12	Professional		$30.70	$56.55	$83.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $14.43 / $22.55	Professional	26	$8.50	$14.43	$22.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $40.06 / $60.08	Professional	TC	$22.20	$40.06	$60.08