Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $51.82 / $77.73	Facility		$51.82	$51.82	$77.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.03 / $20.03 / $30.04	Facility	26	$20.03	$20.03	$30.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.78 / $31.78 / $47.67	Facility	TC	$31.78	$31.78	$47.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $51.82 / $86.91	Professional		$42.28	$51.82	$86.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $20.03 / $88.56	Professional	26	$17.18	$20.03	$88.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.56 / $30.26 / $44.51	Professional	TC	$24.56	$30.26	$44.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $69.81 / $143.80	Professional		$69.81	$69.81	$143.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.45 / $27.45 / $60.75	Professional	26	$27.45	$27.45	$60.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.36 / $42.36 / $87.26	Professional	TC	$42.36	$42.36	$87.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $44.36 / $124.35	Professional		$31.53	$44.36	$124.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $25.26 / $69.59	Professional	26	$13.10	$25.26	$69.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $20.91 / $68.63	Professional	TC	$18.55	$20.91	$68.63
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $95.45 / $158.11	Facility		$61.00	$95.45	$158.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $96.82 / $260.22	Professional		$81.81	$96.82	$260.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.63 / $37.43 / $100.11	Professional	26	$31.63	$37.43	$100.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $50.18 / $59.38 / $160.11	Professional	TC	$50.18	$59.38	$160.11
United Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $61.57 / $158.77	Professional		$40.75	$61.57	$158.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $33.20 / $66.04	Professional	26	$16.98	$33.20	$66.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $30.47 / $90.81	Professional	TC	$23.82	$30.47	$90.81