Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $99.04 / $182.40	Facility		$52.27	$99.04	$182.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.70 / $35.32 / $38.97	Facility	26	$32.70	$35.32	$38.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $77.33 / $108.26	Professional		$40.35	$77.33	$108.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.75 / $32.70 / $61.30	Professional	26	$26.75	$32.70	$61.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.53 / $56.53 / $56.53	Professional	50	$56.53	$56.53	$56.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.55 / $26.14 / $39.68	Professional	52	$19.55	$26.14	$39.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.36 / $35.72 / $71.00	Professional	TC	$16.36	$35.72	$71.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $70.76 / $104.91	Professional		$56.33	$70.76	$104.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.39 / $43.17 / $61.67	Professional	26	$33.39	$43.17	$61.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.11 / $106.54 / $162.72	Professional	50	$83.11	$106.54	$162.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $26.77 / $44.04	Professional	TC	$20.73	$26.77	$44.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $94.32 / $161.03	Professional		$58.58	$94.32	$161.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.86 / $42.50 / $69.77	Professional	26	$29.86	$42.50	$69.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.93 / $56.09 / $94.37	Professional	TC	$21.93	$56.09	$94.37
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $87.81 / $127.94	Facility		$51.80	$87.81	$127.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $72.52 / $103.60	Professional		$58.86	$72.52	$103.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.83 / $45.37 / $58.33	Professional	26	$36.83	$45.37	$58.33
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.05 / $27.17 / $38.81	Professional	TC	$22.05	$27.17	$38.81
United Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $106.08 / $165.10	Professional		$68.06	$106.08	$165.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.76 / $47.01 / $87.17	Professional	26	$32.76	$47.01	$87.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.20 / $59.39 / $90.65	Professional	TC	$35.20	$59.39	$90.65