Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $275.00 / $350.00	Facility		$45.00	$275.00	$350.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $18.77 / $18.77 / $18.77	Facility	QZ	$18.77	$18.77	$18.77
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $392.00 / $985.53 / $1,003.88	Professional	AA	$392.00	$985.53	$1,003.88
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $356.25 / $450.53 / $834.31	Professional	QX	$356.25	$450.53	$834.31
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $459.02 / $459.02 / $459.02	Professional	QY	$459.02	$459.02	$459.02
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $645.04 / $645.04 / $645.04	Professional	QZ	$645.04	$645.04	$645.04
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QX	$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $300.00 / $300.00 / $300.00	Professional	QY	$300.00	$300.00	$300.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $2,072.00 / $2,775.00 / $4,810.00	Facility		$2,072.00	$2,775.00	$4,810.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $375.00 / $621.60	Professional		$260.00	$375.00	$621.60