Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $420.00 / $889.20	Facility		$45.00	$420.00	$889.20
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $827.53 / $972.84 / $1,208.64	Professional	AA	$827.53	$972.84	$1,208.64
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $422.37 / $535.00 / $753.61	Professional	QK	$422.37	$535.00	$753.61
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $424.76 / $522.29 / $719.00	Professional	QX	$424.76	$522.29	$719.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $413.76 / $457.57 / $582.34	Professional	QY	$413.76	$457.57	$582.34
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $225.70 / $489.90 / $636.87	Professional	QZ	$225.70	$489.90	$636.87
Cigna Facility/Professional Professional Modifier QK Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QK	$180.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QX	$180.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $360.00 / $360.00 / $360.00	Professional	QY	$360.00	$360.00	$360.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $2,775.00 / $4,810.00	Facility		$55.50	$2,775.00	$4,810.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $450.00 / $745.92	Professional		$312.00	$450.00	$745.92
United Facility/Professional Professional Modifier AA Low / Median / High Price $75.00 / $75.00 / $75.00	Professional	AA	$75.00	$75.00	$75.00