Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $317.57 / $944.99	Facility		$93.73	$317.57	$944.99
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.68 / $13.69 / $21.04	Facility	26	$13.68	$13.69	$21.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $40.43 / $70.95	Professional		$30.91	$40.43	$70.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $13.94 / $44.93	Professional	26	$11.66	$13.94	$44.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $25.95 / $43.20	Professional	TC	$17.89	$25.95	$43.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.03 / $115.14 / $182.92	Facility		$87.03	$115.14	$182.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $57.47 / $84.75	Professional		$41.34	$57.47	$84.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.82 / $20.21 / $29.17	Professional	26	$14.82	$20.21	$29.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.11 / $37.68 / $56.12	Professional	TC	$27.11	$37.68	$56.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $42.87 / $42.87	Facility		$42.87	$42.87	$42.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.88 / $15.88 / $15.88	Facility	26	$15.88	$15.88	$15.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $40.14 / $74.12	Professional		$29.68	$40.14	$74.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.54 / $16.67 / $29.90	Professional	26	$12.54	$16.67	$29.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.99 / $23.77 / $44.56	Professional	TC	$15.99	$23.77	$44.56
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $48.93 / $67.94	Facility		$38.51	$48.93	$67.94
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $71.23 / $75.33	Professional		$71.23	$71.23	$75.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $59.31 / $80.09	Professional		$50.06	$59.31	$80.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.95 / $20.07 / $27.12	Professional	26	$16.95	$20.07	$27.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $39.22 / $52.98	Professional	TC	$33.11	$39.22	$52.98
United Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $55.76 / $80.27	Professional		$35.40	$55.76	$80.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.48 / $21.46 / $35.27	Professional	26	$15.48	$21.46	$35.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.61 / $50.82	Professional	TC	$20.42	$31.61	$50.82