Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.29 / $1,014.84 / $3,787.47	Facility		$380.29	$1,014.84	$3,787.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.68 / $90.73 / $1,438.02	Facility	26	$73.68	$90.73	$1,438.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $239.34 / $716.34	Professional		$188.75	$239.34	$716.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.17 / $73.16 / $199.50	Professional	26	$63.17	$73.16	$199.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.85 / $175.12 / $237.63	Professional	TC	$124.85	$175.12	$237.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.32 / $298.27 / $411.42	Professional		$227.32	$298.27	$411.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.02 / $97.68 / $137.59	Professional	26	$76.02	$97.68	$137.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $152.09 / $198.03 / $286.77	Professional	TC	$152.09	$198.03	$286.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.59 / $219.59 / $551.03	Facility		$219.59	$219.59	$551.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.95 / $307.57 / $555.70	Professional		$230.95	$307.57	$555.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.50 / $98.73 / $176.86	Professional	26	$74.50	$98.73	$176.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $157.13 / $213.64 / $383.62	Professional	TC	$157.13	$213.64	$383.62
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $203.98 / $289.70 / $391.75	Facility		$203.98	$289.70	$391.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.08 / $300.70 / $429.57	Professional		$244.08	$300.70	$429.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $82.99 / $102.24 / $146.06	Professional	26	$82.99	$102.24	$146.06
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $161.09 / $198.46 / $283.51	Professional	TC	$161.09	$198.46	$283.51
United Facility/Professional Professional Modifier Low / Median / High Price $237.44 / $352.00 / $574.46	Professional		$237.44	$352.00	$574.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $106.09 / $162.13	Professional	26	$75.06	$106.09	$162.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.97 / $226.37 / $334.37	Professional	TC	$154.97	$226.37	$334.37