Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.02 / $574.74 / $1,353.40	Facility		$110.02	$574.74	$1,353.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.55 / $36.68 / $44.31	Facility	26	$28.55	$36.68	$44.31
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $83.45 / $386.51 / $715.40	Facility	TC	$83.45	$386.51	$715.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $107.50 / $183.94	Professional		$75.01	$107.50	$183.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $38.04 / $116.29	Professional	26	$25.26	$38.04	$116.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.60 / $71.45 / $111.15	Professional	TC	$50.60	$71.45	$111.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $260.00 / $554.00	Facility		$186.00	$260.00	$554.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $130.01 / $185.71	Professional		$94.72	$130.01	$185.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.12 / $40.46 / $57.61	Professional	26	$31.12	$40.46	$57.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.13 / $90.45 / $128.78	Professional	TC	$65.13	$90.45	$128.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $245.69 / $425.44	Facility		$97.31	$245.69	$425.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.67 / $31.67 / $31.67	Facility	26	$31.67	$31.67	$31.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $66.73 / $66.73 / $66.73	Facility	TC	$66.73	$66.73	$66.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $109.57 / $202.59	Professional		$83.67	$109.57	$202.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $33.42 / $65.40	Professional	26	$25.78	$33.42	$65.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.04 / $73.84 / $138.77	Professional	TC	$57.04	$73.84	$138.77
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $89.83 / $126.01 / $165.61	Facility		$89.83	$126.01	$165.61
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $172.11	Professional		$161.71	$161.71	$172.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.26 / $134.61 / $192.30	Professional		$109.26	$134.61	$192.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.99 / $41.87 / $59.82	Professional	26	$33.99	$41.87	$59.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $75.26 / $92.72 / $132.46	Professional	TC	$75.26	$92.72	$132.46
United Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $245.18 / $245.18	Facility		$245.18	$245.18	$245.18
United Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $135.19 / $206.20	Professional		$96.83	$135.19	$206.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.24 / $44.93 / $86.60	Professional	26	$30.24	$44.93	$86.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.08 / $94.20 / $140.08	Professional	TC	$69.08	$94.20	$140.08