Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $138.13 / $138.13	Facility		$138.13	$138.13	$138.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.86 / $33.86 / $33.86	Facility	26	$33.86	$33.86	$33.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $104.26 / $104.26 / $104.26	Facility	TC	$104.26	$104.26	$104.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $88.02 / $198.00	Professional		$61.19	$88.02	$198.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $27.22 / $212.51	Professional	26	$17.28	$27.22	$212.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.91 / $66.68 / $104.26	Professional	TC	$43.91	$66.68	$104.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $118.27 / $243.63	Professional		$118.27	$118.27	$243.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.43 / $26.43 / $54.45	Professional	26	$26.43	$26.43	$54.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.84 / $91.84 / $189.18	Professional	TC	$91.84	$91.84	$189.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $54.99 / $160.00	Professional		$43.75	$54.99	$160.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.61 / $13.98 / $47.15	Professional	26	$11.61	$13.98	$47.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.54 / $41.53 / $131.15	Professional	TC	$28.54	$41.53	$131.15
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $117.68 / $164.00	Facility		$77.36	$117.68	$164.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $160.60 / $433.65	Professional		$135.72	$160.60	$433.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.44 / $36.03 / $96.35	Professional	26	$30.44	$36.03	$96.35
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $105.28 / $124.58 / $337.30	Professional	TC	$105.28	$124.58	$337.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $67.51 / $216.67	Professional		$54.80	$67.51	$216.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.46 / $17.01 / $63.57	Professional	26	$15.46	$17.01	$63.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.64 / $52.13 / $163.52	Professional	TC	$40.64	$52.13	$163.52