Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.56 / $183.12 / $345.51	Facility		$130.56	$183.12	$345.51
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.87 / $24.87 / $29.90	Facility	26	$24.87	$24.87	$29.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $130.56 / $196.78	Professional		$108.25	$130.56	$196.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $24.71 / $35.07	Professional	26	$20.50	$24.71	$35.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.29 / $105.70 / $159.60	Professional	TC	$86.29	$105.70	$159.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $123.69 / $127.99	Professional		$123.69	$123.69	$127.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.04 / $23.04 / $23.70	Professional	26	$23.04	$23.04	$23.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.65 / $100.65 / $102.68	Professional	TC	$100.65	$100.65	$102.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.36 / $264.83 / $425.44	Facility		$106.36	$264.83	$425.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $185.88 / $290.93	Professional		$130.19	$185.88	$290.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.12 / $32.88 / $53.15	Professional	26	$24.12	$32.88	$53.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.31 / $152.91 / $245.03	Professional	TC	$105.31	$152.91	$245.03
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $125.23 / $170.56 / $244.96	Facility		$125.23	$170.56	$244.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.04 / $181.15 / $258.79	Professional		$147.04	$181.15	$258.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.01 / $34.51 / $49.30	Professional	26	$28.01	$34.51	$49.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $119.03 / $146.63 / $209.48	Professional	TC	$119.03	$146.63	$209.48
United Facility/Professional Facility Modifier Low / Median / High Price $110.74 / $110.74 / $110.74	Facility		$110.74	$110.74	$110.74
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $207.90 / $280.45	Professional		$136.80	$207.90	$280.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $36.11 / $59.50	Professional	26	$25.26	$36.11	$59.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.52 / $168.88 / $236.99	Professional	TC	$111.52	$168.88	$236.99