Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $155.19 / $184.80	Facility		$82.77	$155.19	$184.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.50 / $34.50 / $34.50	Facility	26	$34.50	$34.50	$34.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $68.95 / $118.23	Professional		$47.38	$68.95	$118.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.27 / $27.37 / $71.40	Professional	26	$19.27	$27.37	$71.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.70 / $31.79 / $44.17	Professional	52	$22.70	$31.79	$44.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.13 / $36.63 / $60.08	Professional	TC	$26.13	$36.63	$60.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $82.41 / $113.15	Professional		$59.04	$82.41	$113.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $33.88 / $46.90	Professional	26	$21.29	$33.88	$46.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.94 / $48.96 / $65.75	Professional	TC	$35.94	$48.96	$65.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $82.78 / $117.68	Professional		$50.35	$82.78	$117.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.40 / $32.02 / $49.07	Professional	26	$21.40	$32.02	$49.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.04 / $49.61 / $73.87	Professional	TC	$28.04	$49.61	$73.87
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $82.55 / $118.42	Facility		$55.08	$82.55	$118.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $82.55 / $139.69	Professional		$63.50	$82.55	$139.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.11 / $33.94 / $52.17	Professional	26	$26.11	$33.94	$52.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.39 / $48.61 / $82.26	Professional	TC	$37.39	$48.61	$82.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $84.42 / $119.66	Professional		$60.06	$84.42	$119.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $31.20 / $52.26	Professional	26	$24.30	$31.20	$52.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.33 / $50.53 / $103.01	Professional	TC	$33.33	$50.53	$103.01