Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.46 / $220.46 / $330.70	Facility		$220.46	$220.46	$330.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.42 / $59.42 / $89.12	Facility	26	$59.42	$59.42	$89.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $161.05 / $241.57 / $331.10	Facility	TC	$161.05	$241.57	$331.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $220.47 / $1,018.22	Professional		$165.56	$220.47	$1,018.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.78 / $82.27 / $697.50	Professional	26	$53.78	$82.27	$697.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.78 / $158.40 / $231.69	Professional	TC	$111.78	$158.40	$231.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.33 / $304.33 / $626.89	Professional		$304.33	$304.33	$626.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.35 / $82.35 / $169.63	Professional	26	$82.35	$82.35	$169.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $221.97 / $221.97 / $457.25	Professional	TC	$221.97	$221.97	$457.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $152.16 / $435.17	Professional		$93.04	$152.16	$435.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.13 / $57.58 / $191.52	Professional	26	$35.13	$57.58	$191.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.90 / $104.41 / $317.52	Professional	TC	$57.90	$104.41	$317.52
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $201.88 / $290.10 / $410.04	Facility		$201.88	$290.10	$410.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.12 / $411.94 / $511.00	Professional		$348.12	$411.94	$511.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $93.83 / $111.03 / $187.11	Professional	26	$93.83	$111.03	$187.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $254.29 / $300.91 / $511.00	Professional	TC	$254.29	$300.91	$511.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $172.56 / $610.39	Professional		$124.64	$172.56	$610.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.33 / $52.76 / $178.46	Professional	26	$47.33	$52.76	$178.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.25 / $125.23 / $451.23	Professional	TC	$77.25	$125.23	$451.23