Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.75 / $758.00 / $1,555.49	Facility		$60.75	$758.00	$1,555.49
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.77 / $39.39 / $47.59	Facility	26	$29.77	$39.39	$47.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $82.23 / $165.74	Professional		$48.28	$82.23	$165.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $45.34 / $95.02	Professional	26	$26.95	$45.34	$95.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.23 / $165.74 / $179.00	Professional	50	$82.23	$165.74	$179.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.68 / $31.38 / $45.95	Professional	TC	$15.68	$31.38	$45.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $226.81 / $554.00	Facility		$111.74	$226.81	$554.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $72.23 / $110.17	Professional		$55.05	$72.23	$110.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.11 / $45.20 / $67.03	Professional	26	$34.11	$45.20	$67.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.09 / $90.94 / $165.25	Professional	50	$78.09	$90.94	$165.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.07 / $27.21 / $41.87	Professional	TC	$21.07	$27.21	$41.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $264.83 / $425.44	Facility		$40.18	$264.83	$425.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $34.29 / $34.29	Facility	26	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $85.07 / $163.12	Professional		$46.03	$85.07	$163.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.37 / $47.32 / $89.55	Professional	26	$28.37	$47.32	$89.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $34.02 / $79.91	Professional	TC	$17.48	$34.02	$79.91
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $84.22 / $161.80	Facility		$50.13	$84.22	$161.80
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $88.34 / $92.63	Professional		$88.34	$88.34	$92.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $73.54 / $105.05	Professional		$59.69	$73.54	$105.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.21 / $45.85 / $58.94	Professional	26	$37.21	$45.85	$58.94
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.48 / $27.69 / $39.56	Professional	TC	$22.48	$27.69	$39.56
United Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $245.18 / $400.00	Facility		$245.18	$245.18	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $94.03 / $170.30	Professional		$64.06	$94.03	$170.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.27 / $51.99 / $97.50	Professional	26	$38.27	$51.99	$97.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $40.86 / $72.81	Professional	TC	$27.23	$40.86	$72.81