Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.52 / $301.14 / $773.34	Facility		$77.52	$301.14	$773.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $11.38 / $296.58	Facility	26	$8.94	$11.38	$296.58
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.81 / $245.70 / $805.00	Facility	TC	$22.81	$245.70	$805.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $31.76 / $53.27	Professional		$24.69	$31.76	$53.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.05 / $40.82	Professional	26	$8.08	$9.05	$40.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.04 / $36.82	Professional	TC	$16.60	$20.04	$36.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $90.45 / $143.69	Facility		$68.37	$90.45	$143.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $43.81 / $63.03	Professional		$31.51	$43.81	$63.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $12.33 / $17.62	Professional	26	$9.09	$12.33	$17.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.70 / $31.56 / $45.41	Professional	TC	$22.70	$31.56	$45.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $203.07 / $351.64	Facility		$37.50	$203.07	$351.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $34.54 / $59.01	Professional		$24.61	$34.54	$59.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $11.46 / $19.16	Professional	26	$7.89	$11.46	$19.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $23.26 / $40.84	Professional	TC	$16.30	$23.26	$40.84
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $38.11 / $62.81	Facility		$29.36	$38.11	$62.81
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $55.96 / $59.57	Professional		$55.96	$55.96	$59.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $49.01 / $66.55	Professional		$39.33	$49.01	$66.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $13.80 / $17.04	Professional	26	$11.08	$13.80	$17.04
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.25 / $35.20 / $43.46	Professional	TC	$28.25	$35.20	$43.46
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $47.35 / $69.05	Professional		$27.77	$47.35	$69.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $15.41 / $30.30	Professional	26	$9.38	$15.41	$30.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $33.14 / $47.60	Professional	TC	$18.39	$33.14	$47.60