Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.76 / $470.60 / $1,374.45	Facility		$172.76	$470.60	$1,374.45
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $77.65	Facility	26	$39.81	$39.81	$77.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $225.75 / $486.42 / $1,031.27	Facility	TC	$225.75	$486.42	$1,031.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.49 / $254.94 / $401.81	Professional		$178.49	$254.94	$401.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $37.78 / $62.27	Professional	26	$26.96	$37.78	$62.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $204.22 / $345.46	Professional	TC	$162.34	$204.22	$345.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.17 / $254.17 / $254.17	Professional		$254.17	$254.17	$254.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.27 / $37.27 / $37.27	Professional	26	$37.27	$37.27	$37.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $216.55 / $216.55 / $216.55	Professional	TC	$216.55	$216.55	$216.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.06 / $590.27 / $948.22	Facility		$237.06	$590.27	$948.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.91 / $42.91 / $42.91	Facility	26	$42.91	$42.91	$42.91
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $227.42 / $227.42 / $227.42	Facility	TC	$227.42	$227.42	$227.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.38 / $369.80 / $599.22	Professional		$253.38	$369.80	$599.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.52 / $49.77 / $80.95	Professional	26	$34.52	$49.77	$80.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.09 / $320.27 / $509.61	Professional	TC	$219.09	$320.27	$509.61
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $239.26 / $334.96 / $478.03	Facility		$239.26	$334.96	$478.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.08 / $368.46 / $526.37	Professional		$299.08	$368.46	$526.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.83 / $55.22 / $78.89	Professional	26	$44.83	$55.22	$78.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $254.24 / $313.22 / $447.46	Professional	TC	$254.24	$313.22	$447.46
United Facility/Professional Professional Modifier Low / Median / High Price $279.63 / $408.50 / $558.85	Professional		$279.63	$408.50	$558.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.74 / $56.01 / $88.81	Professional	26	$37.74	$56.01	$88.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.34 / $365.23 / $488.02	Professional	TC	$236.34	$365.23	$488.02