Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $86.34 / $129.52	Facility		$86.34	$86.34	$129.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.32 / $25.32 / $37.97	Facility	26	$25.32	$25.32	$37.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $61.03 / $91.56 / $435.40	Facility	TC	$61.03	$91.56	$435.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.55 / $86.35 / $275.00	Professional		$66.55	$86.35	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $34.83 / $279.98	Professional	26	$21.69	$34.83	$279.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.69 / $61.04 / $83.96	Professional	TC	$43.69	$61.04	$83.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $104.72 / $216.76	Professional		$104.72	$104.72	$216.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $34.90 / $72.25	Professional	26	$34.90	$34.90	$72.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.15 / $70.15 / $145.21	Professional	TC	$70.15	$70.15	$145.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $56.81 / $161.41	Professional		$43.73	$56.81	$161.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $27.83 / $74.00	Professional	26	$16.72	$27.83	$74.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.38 / $36.07 / $100.11	Professional	TC	$25.38	$36.07	$100.11
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $93.75 / $124.92 / $159.07	Facility		$93.75	$124.92	$159.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $161.34 / $406.90	Professional		$136.34	$161.34	$406.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $47.30 / $126.49	Professional	26	$39.97	$47.30	$126.49
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $96.37 / $114.04 / $280.39	Professional	TC	$96.37	$114.04	$280.39
United Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $64.31 / $211.14	Professional		$57.31	$64.31	$211.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $24.67 / $83.49	Professional	26	$20.17	$24.67	$83.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.19 / $43.34 / $140.76	Professional	TC	$34.19	$43.34	$140.76