Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.29 / $740.05 / $1,721.52	Facility		$172.29	$740.05	$1,721.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.22 / $47.66 / $60.33	Facility	26	$39.22	$47.66	$60.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $136.33 / $233.22	Professional		$103.67	$136.33	$233.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.28 / $39.22 / $123.43	Professional	26	$33.28	$39.22	$123.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.20 / $87.95 / $133.91	Professional	TC	$67.20	$87.95	$133.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $271.98 / $554.00	Facility		$186.00	$271.98	$554.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $172.71 / $246.71	Professional		$125.83	$172.71	$246.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.20 / $54.75 / $77.94	Professional	26	$42.20	$54.75	$77.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.35 / $118.54 / $169.61	Professional	TC	$85.35	$118.54	$169.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.36 / $245.69 / $425.44	Facility		$106.36	$245.69	$425.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $146.13 / $271.77	Professional		$110.90	$146.13	$271.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.09 / $45.88 / $89.16	Professional	26	$35.09	$45.88	$89.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.30 / $98.08 / $181.59	Professional	TC	$75.30	$98.08	$181.59
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $120.07 / $169.39 / $220.01	Facility		$120.07	$169.39	$220.01
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $215.03 / $215.03 / $228.57	Professional		$215.03	$215.03	$228.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.29 / $178.99 / $255.71	Professional		$145.29	$178.99	$255.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.70 / $57.53 / $82.19	Professional	26	$46.70	$57.53	$82.19
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $98.59 / $121.46 / $173.51	Professional	TC	$98.59	$121.46	$173.51
United Facility/Professional Professional Modifier Low / Median / High Price $131.86 / $181.59 / $277.60	Professional		$131.86	$181.59	$277.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.12 / $62.79 / $90.41	Professional	26	$41.12	$62.79	$90.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.24 / $133.38 / $180.05	Professional	TC	$92.24	$133.38	$180.05