Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.50 / $777.06 / $1,702.00	Facility		$214.50	$777.06	$1,702.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.26 / $62.45 / $186.47	Facility	26	$45.26	$62.45	$186.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $189.89 / $234.71	Professional		$143.05	$189.89	$234.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.06 / $55.46 / $104.74	Professional	26	$39.06	$55.46	$104.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.58 / $143.80 / $171.99	Professional	TC	$104.58	$143.80	$171.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $609.00 / $2,467.00 / $5,339.00	Facility		$609.00	$2,467.00	$5,339.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $206.65 / $297.48	Professional		$144.13	$206.65	$297.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.75 / $54.08 / $87.43	Professional	26	$38.75	$54.08	$87.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.07 / $150.68 / $220.21	Professional	TC	$96.07	$150.68	$220.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.24 / $645.00 / $677.00	Facility		$157.24	$645.00	$677.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $250.00 / $348.06	Professional		$172.55	$250.00	$348.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.78 / $67.34 / $100.61	Professional	26	$45.78	$67.34	$100.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.80 / $185.22 / $248.61	Professional	TC	$125.80	$185.22	$248.61
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $186.53 / $309.13	Facility		$142.47	$186.53	$309.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $194.30 / $291.44	Professional		$136.01	$194.30	$291.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.46 / $55.06 / $76.55	Professional	26	$38.46	$55.06	$76.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $96.41 / $137.72 / $206.60	Professional	TC	$96.41	$137.72	$206.60
United Facility/Professional Professional Modifier Low / Median / High Price $169.76 / $268.55 / $435.59	Professional		$169.76	$268.55	$435.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.20 / $71.55 / $117.66	Professional	26	$47.20	$71.55	$117.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.56 / $195.30 / $297.49	Professional	TC	$119.56	$195.30	$297.49