Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $154.27 / $647.91	Facility		$153.00	$154.27	$647.91
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.27 / $82.19 / $127.11	Facility	26	$78.27	$82.19	$127.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $211.53 / $259.52	Professional		$131.10	$211.53	$259.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $73.70 / $124.10	Professional	26	$48.86	$73.70	$124.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $55.94 / $76.75 / $108.32	Professional	52	$55.94	$76.75	$108.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.08 / $116.53 / $202.54	Professional	TC	$60.08	$116.53	$202.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.06 / $439.32 / $697.92	Facility		$332.06	$439.32	$697.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.95 / $222.43 / $346.95	Professional		$163.95	$222.43	$346.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.99 / $111.53 / $164.02	Professional	26	$81.99	$111.53	$164.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.01 / $106.63 / $200.03	Professional	TC	$75.01	$106.63	$200.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.21 / $6,321.50 / $12,334.63	Facility		$146.21	$6,321.50	$12,334.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $227.11 / $601.07	Professional		$138.83	$227.11	$601.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.36 / $83.97 / $166.94	Professional	26	$51.36	$83.97	$166.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.17 / $134.86 / $434.57	Professional	TC	$65.17	$134.86	$434.57
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $154.27 / $259.17 / $683.60	Facility		$154.27	$259.17	$683.60
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $271.82 / $271.82 / $281.24	Professional		$271.82	$271.82	$281.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.01 / $238.03 / $323.25	Professional		$191.01	$238.03	$323.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $101.75 / $126.80 / $172.19	Professional	26	$101.75	$126.80	$172.19
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $89.26 / $111.23 / $151.05	Professional	TC	$89.26	$111.23	$151.05
United Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $288.89 / $516.59	Professional		$185.19	$288.89	$516.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.42 / $131.04 / $221.05	Professional	26	$57.42	$131.04	$221.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.91 / $148.54 / $330.49	Professional	TC	$95.91	$148.54	$330.49