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 Professional Modifier AA Low / Median / High Price $881.79 / $908.92 / $1,234.51	Professional	AA	$881.79	$908.92	$1,234.51
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $373.09 / $452.17 / $650.85	Professional	QK	$373.09	$452.17	$650.85
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $390.51 / $471.65 / $640.59	Professional	QX	$390.51	$471.65	$640.59
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $351.98 / $400.20 / $486.42	Professional	QY	$351.98	$400.20	$486.42
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $457.24 / $514.40 / $720.00	Professional	QZ	$457.24	$514.40	$720.00
Cigna Facility/Professional Professional Modifier QK Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QK	$150.00	$150.00	$150.00
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 $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 $260.00 / $375.00 / $621.60	Professional		$260.00	$375.00	$621.60