Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.12 / $89.01 / $1,987.92	Facility		$74.12	$89.01	$1,987.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.76 / $19.76 / $23.83	Facility	26	$19.76	$19.76	$23.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $88.81 / $146.81	Professional		$62.21	$88.81	$146.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.53 / $18.39 / $25.46	Professional	26	$16.53	$18.39	$25.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.92 / $65.01 / $129.94	Professional	TC	$44.92	$65.01	$129.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $92.84 / $134.74	Professional		$67.01	$92.84	$134.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.43 / $24.23 / $35.78	Professional	26	$17.43	$24.23	$35.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.07 / $69.05 / $108.28	Professional	TC	$48.07	$69.05	$108.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.95 / $312.95 / $312.95	Facility		$312.95	$312.95	$312.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $118.28 / $198.65	Professional		$80.20	$118.28	$198.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $26.48 / $36.84	Professional	26	$19.91	$26.48	$36.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.30 / $88.65 / $172.76	Professional	TC	$57.30	$88.65	$172.76
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $92.66 / $172.46	Facility		$66.86	$92.66	$172.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $97.50 / $155.00	Professional		$70.12	$97.50	$155.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.70 / $26.00 / $40.07	Professional	26	$18.70	$26.00	$40.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $51.42 / $71.50 / $110.18	Professional	TC	$51.42	$71.50	$110.18
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $135.69 / $229.84	Professional		$80.84	$135.69	$229.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $25.30 / $41.32	Professional	26	$20.32	$25.30	$41.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.05 / $99.88 / $170.80	Professional	TC	$58.05	$99.88	$170.80