Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $13.51 / $153.00	Facility		$11.79	$13.51	$153.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.56 / $7.93 / $7.93	Facility	26	$7.56	$7.93	$7.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $12.84 / $18.52	Professional		$10.07	$12.84	$18.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $8.26 / $17.44	Professional	26	$6.93	$8.26	$17.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.15 / $4.13 / $6.13	Professional	TC	$3.15	$4.13	$6.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $213.00 / $554.00	Facility		$26.28	$213.00	$554.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $16.84 / $24.67	Professional		$12.68	$16.84	$24.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.57 / $11.06 / $15.88	Professional	26	$8.57	$11.06	$15.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $13.43 / $19.02 / $27.49	Professional	50	$13.43	$19.02	$27.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $5.21 / $7.53	Professional	TC	$3.80	$5.21	$7.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $66.54 / $115.22	Facility		$7.30	$66.54	$115.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $15.26 / $29.07	Professional		$10.79	$15.26	$29.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $10.30 / $19.35	Professional	26	$7.27	$10.30	$19.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.21 / $4.91 / $9.65	Professional	TC	$3.21	$4.91	$9.65
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $16.85 / $24.98	Facility		$11.79	$16.85	$24.98
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $20.78 / $21.42	Professional		$20.78	$20.78	$21.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $17.29 / $24.71	Professional		$14.04	$17.29	$24.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $11.64 / $16.63	Professional	26	$9.44	$11.64	$16.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.59 / $5.65 / $7.63	Professional	TC	$4.59	$5.65	$7.63
United Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $18.70 / $29.25	Professional		$12.62	$18.70	$29.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $13.28 / $19.55	Professional	26	$9.02	$13.28	$19.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.60 / $6.08 / $13.90	Professional	TC	$3.60	$6.08	$13.90