Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.12 / $200.89 / $1,207.19	Facility		$183.12	$200.89	$1,207.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.83 / $44.13 / $45.85	Facility	26	$40.83	$44.13	$45.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $200.89 / $302.11	Professional		$169.61	$200.89	$302.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $38.70 / $63.01	Professional	26	$30.82	$38.70	$63.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.68 / $162.49 / $244.90	Professional	TC	$133.68	$162.49	$244.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.12 / $190.12 / $195.60	Professional		$190.12	$190.12	$195.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $37.61 / $37.61	Professional	26	$37.61	$37.61	$37.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $152.16 / $152.16 / $155.11	Professional	TC	$152.16	$152.16	$155.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.70 / $590.27 / $948.22	Facility		$201.70	$590.27	$948.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.31 / $43.31 / $43.31	Facility	26	$43.31	$43.31	$43.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.68 / $279.56 / $440.76	Professional		$200.68	$279.56	$440.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.18 / $52.42 / $85.11	Professional	26	$37.18	$52.42	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.47 / $229.54 / $361.28	Professional	TC	$159.47	$229.54	$361.28
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $190.53 / $259.52 / $364.75	Facility		$190.53	$259.52	$364.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.24 / $278.72 / $398.18	Professional		$226.24	$278.72	$398.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.99 / $56.66 / $80.94	Professional	26	$45.99	$56.66	$80.94
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $180.25 / $222.07 / $317.24	Professional	TC	$180.25	$222.07	$317.24
United Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $311.14 / $422.40	Professional		$215.10	$311.14	$422.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.11 / $55.80 / $88.92	Professional	26	$39.11	$55.80	$88.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.79 / $257.69 / $347.09	Professional	TC	$172.79	$257.69	$347.09