Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.06 / $218.13 / $235.30	Facility		$108.06	$218.13	$235.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.86 / $15.87 / $947.75	Facility	26	$15.86	$15.87	$947.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $98.50 / $173.18	Professional		$79.01	$98.50	$173.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $15.87 / $41.81	Professional	26	$13.64	$15.87	$41.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $82.69 / $149.21	Professional	TC	$67.40	$82.69	$149.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.60 / $307.73 / $488.87	Facility		$232.60	$307.73	$488.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $152.68 / $222.99	Professional		$102.64	$152.68	$222.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $22.14 / $31.85	Professional	26	$16.63	$22.14	$31.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.30 / $131.88 / $191.13	Professional	TC	$88.30	$131.88	$191.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $547.60 / $948.22	Facility		$152.91	$547.60	$948.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $112.20 / $200.30	Professional		$76.38	$112.20	$200.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $20.68 / $35.78	Professional	26	$14.00	$20.68	$35.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.07 / $91.03 / $162.57	Professional	TC	$61.07	$91.03	$162.57
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $99.12 / $129.29 / $194.51	Facility		$99.12	$129.29	$194.51
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $190.40 / $205.37	Professional		$190.40	$190.40	$205.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.80 / $166.73 / $226.42	Professional		$133.80	$166.73	$226.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.64 / $24.48 / $33.24	Professional	26	$19.64	$24.48	$33.24
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $114.14 / $142.24 / $193.16	Professional	TC	$114.14	$142.24	$193.16
United Facility/Professional Facility Modifier Low / Median / High Price $132.53 / $132.53 / $132.53	Facility		$132.53	$132.53	$132.53
United Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $148.19 / $225.47	Professional		$89.06	$148.19	$225.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $26.56 / $41.50	Professional	26	$16.30	$26.56	$41.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.76 / $131.66 / $265.83	Professional	TC	$72.76	$131.66	$265.83