Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $334.36 / $753.52	Facility		$79.06	$334.36	$753.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.25 / $10.92 / $65.03	Facility	26	$8.25	$10.92	$65.03
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.72 / $272.80 / $650.62	Facility	TC	$29.72	$272.80	$650.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $44.81 / $103.82	Professional		$28.39	$44.81	$103.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $11.07 / $39.10	Professional	26	$7.33	$11.07	$39.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $27.96 / $63.78 / $307.37	Professional	50	$27.96	$63.78	$307.37
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.21 / $17.43 / $23.90	Professional	52	$11.21	$17.43	$23.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.32 / $27.82 / $48.73	Professional	TC	$21.32	$27.82	$48.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $102.71 / $163.16	Facility		$77.63	$102.71	$163.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $50.04 / $72.52	Professional		$34.40	$50.04	$72.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $11.38 / $16.34	Professional	26	$8.67	$11.38	$16.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.71 / $49.24 / $60.72	Professional	50	$40.71	$49.24	$60.72
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 $45.55 / $180.22 / $351.64	Facility		$45.55	$180.22	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $39.51 / $69.06	Professional		$26.54	$39.51	$69.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $10.68 / $19.00	Professional	26	$7.27	$10.68	$19.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.88 / $28.02 / $49.50	Professional	TC	$18.88	$28.02	$49.50
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $35.03 / $43.75 / $64.93	Facility		$35.03	$43.75	$64.93
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $63.55 / $67.91	Professional		$63.55	$63.55	$67.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $55.65 / $75.56	Professional		$44.66	$55.65	$75.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $12.72 / $17.27	Professional	26	$10.21	$12.72	$17.27
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 $29.94 / $50.64 / $73.16	Professional		$29.94	$50.64	$73.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $13.86 / $27.98	Professional	26	$8.34	$13.86	$27.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $37.06 / $55.95	Professional	TC	$21.83	$37.06	$55.95