Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.34 / $570.53 / $1,423.37	Facility		$115.34	$570.53	$1,423.37
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.51 / $35.11 / $42.35	Facility	26	$27.51	$35.11	$42.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $126.46 / $227.73	Professional		$98.49	$126.46	$227.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.62 / $28.08 / $97.33	Professional	26	$23.62	$28.08	$97.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.40 / $58.04 / $81.96	Professional	52	$45.40	$58.04	$81.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.84 / $94.28 / $148.50	Professional	TC	$71.84	$94.28	$148.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $262.00 / $554.00	Facility		$186.00	$262.00	$554.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $163.94 / $235.87	Professional		$119.29	$163.94	$235.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.34 / $38.63 / $55.57	Professional	26	$28.34	$38.63	$55.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.05 / $126.21 / $180.29	Professional	TC	$91.05	$126.21	$180.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $264.83 / $425.44	Facility		$123.40	$264.83	$425.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.47 / $30.47 / $30.47	Facility	26	$30.47	$30.47	$30.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $125.53 / $253.83	Professional		$97.05	$125.53	$253.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.71 / $31.79 / $63.03	Professional	26	$24.71	$31.79	$63.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.36 / $94.55 / $192.23	Professional	TC	$71.36	$94.55	$192.23
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $147.99 / $201.76	Facility		$106.52	$147.99	$201.76
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $204.50 / $204.50 / $218.76	Professional		$204.50	$204.50	$218.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $170.23 / $243.19	Professional		$138.18	$170.23	$243.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.76 / $40.36 / $57.66	Professional	26	$32.76	$40.36	$57.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $105.40 / $129.85 / $185.50	Professional	TC	$105.40	$129.85	$185.50
United Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $143.63 / $245.18	Facility		$143.63	$143.63	$245.18
United Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $171.11 / $254.87	Professional		$109.64	$171.11	$254.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.39 / $43.31 / $62.35	Professional	26	$28.39	$43.31	$62.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.60 / $133.71 / $192.52	Professional	TC	$82.60	$133.71	$192.52