Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $51.01 / $252.20	Facility		$40.78	$51.01	$252.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.34 / $22.34 / $26.93	Facility	26	$22.34	$22.34	$26.93
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.44 / $229.46 / $500.15	Facility	TC	$18.44	$229.46	$500.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $40.95 / $85.00	Professional		$27.50	$40.95	$85.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.59 / $71.59 / $71.59	Professional	25	$71.59	$71.59	$71.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $24.16 / $61.08	Professional	26	$19.82	$24.16	$61.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.26 / $89.26 / $89.26	Professional	50	$89.26	$89.26	$89.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.19 / $20.39 / $37.50	Professional	52	$14.19	$20.39	$37.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.02 / $30.79 / $66.91	Professional	TC	$14.02	$30.79	$66.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $56.01 / $84.75	Professional		$42.49	$56.01	$84.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.00 / $29.67 / $42.70	Professional	26	$22.00	$29.67	$42.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.88 / $65.43 / $102.82	Professional	50	$46.88	$65.43	$102.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.01 / $25.64 / $45.30	Professional	TC	$19.01	$25.64	$45.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $76.31 / $131.66	Professional		$43.87	$76.31	$131.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.97 / $31.49 / $49.17	Professional	26	$21.97	$31.49	$49.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $45.03 / $85.00	Professional	TC	$19.39	$45.03	$85.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $64.67 / $105.92	Facility		$40.78	$64.67	$105.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $59.52 / $80.83	Professional		$47.76	$59.52	$80.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.16 / $32.59 / $39.84	Professional	26	$26.16	$32.59	$39.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.61 / $26.92 / $36.56	Professional	TC	$21.61	$26.92	$36.56
United Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $81.45 / $137.49	Professional		$46.34	$81.45	$137.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $35.00 / $55.03	Professional	26	$22.95	$35.00	$55.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $44.54 / $83.37	Professional	TC	$23.82	$44.54	$83.37