Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.47 / $1,147.34 / $2,956.46	Facility		$183.47	$1,147.34	$2,956.46
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.75 / $43.37 / $52.89	Facility	26	$34.75	$43.37	$52.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $172.53 / $572.02 / $1,711.08	Facility	TC	$172.53	$572.02	$1,711.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.67 / $207.30 / $313.24	Professional		$167.67	$207.30	$313.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.73 / $36.95 / $107.44	Professional	26	$31.73	$36.95	$107.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.38 / $172.54 / $264.01	Professional	TC	$143.38	$172.54	$264.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.27 / $199.27 / $199.27	Professional		$199.27	$199.27	$199.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.21 / $33.21 / $36.52	Professional	26	$33.21	$33.21	$36.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.72 / $165.72 / $165.72	Professional	TC	$165.72	$165.72	$165.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.15 / $590.27 / $948.22	Facility		$209.15	$590.27	$948.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.51 / $37.51 / $37.51	Facility	26	$37.51	$37.51	$37.51
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $172.98 / $172.98 / $172.98	Facility	TC	$172.98	$172.98	$172.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.44 / $292.37 / $470.21	Professional		$200.44	$292.37	$470.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.29 / $47.47 / $77.91	Professional	26	$34.29	$47.47	$77.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.87 / $243.97 / $385.82	Professional	TC	$167.87	$243.97	$385.82
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $197.49 / $270.47 / $381.74	Facility		$197.49	$270.47	$381.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.44 / $287.60 / $410.85	Professional		$233.44	$287.60	$410.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.14 / $48.22 / $68.88	Professional	26	$39.14	$48.22	$68.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $194.30 / $239.38 / $341.97	Professional	TC	$194.30	$239.38	$341.97
United Facility/Professional Professional Modifier Low / Median / High Price $217.28 / $336.10 / $437.47	Professional		$217.28	$336.10	$437.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.25 / $50.58 / $76.39	Professional	26	$37.25	$50.58	$76.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.76 / $274.64 / $374.08	Professional	TC	$177.76	$274.64	$374.08