Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.82 / $332.96 / $898.43	Facility		$138.82	$332.96	$898.43
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.92 / $30.93 / $47.42	Facility	26	$30.92	$30.93	$47.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $96.61 / $223.08	Professional		$50.20	$96.61	$223.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $30.98 / $85.05	Professional	26	$26.26	$30.98	$85.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.08 / $46.87 / $184.73	Professional	TC	$23.08	$46.87	$184.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $176.47 / $280.35	Facility		$133.38	$176.47	$280.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $87.46 / $134.93	Professional		$64.67	$87.46	$134.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.11 / $42.70 / $61.00	Professional	26	$31.11	$42.70	$61.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.29 / $43.24 / $73.06	Professional	TC	$32.29	$43.24	$73.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $65.84 / $65.84	Facility		$65.84	$65.84	$65.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.51 / $34.51 / $34.51	Facility	26	$34.51	$34.51	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $102.47 / $250.90	Professional		$53.47	$102.47	$250.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.59 / $37.71 / $73.06	Professional	26	$27.59	$37.71	$73.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $48.32 / $182.42	Professional	TC	$24.12	$48.32	$182.42
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $101.80 / $267.38	Facility		$61.27	$101.80	$267.38
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $109.19 / $114.31	Professional		$109.19	$109.19	$114.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $90.89 / $129.84	Professional		$73.78	$90.89	$129.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.83 / $45.37 / $61.44	Professional	26	$36.83	$45.37	$61.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.95 / $45.52 / $65.03	Professional	TC	$36.95	$45.52	$65.03
United Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $110.51 / $204.79	Professional		$69.67	$110.51	$204.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.03 / $48.00 / $70.15	Professional	26	$34.03	$48.00	$70.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.25 / $48.90 / $157.59	Professional	TC	$30.25	$48.90	$157.59