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 $392.00 / $530.73 / $931.74	Professional	AA	$392.00	$530.73	$931.74
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $363.10 / $417.91 / $486.42	Professional	QK	$363.10	$417.91	$486.42
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $373.09 / $431.61 / $500.12	Professional	QX	$373.09	$431.61	$500.12
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $363.10 / $411.06 / $417.91	Professional	QY	$363.10	$411.06	$417.91
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $457.24 / $587.88 / $840.00	Professional	QZ	$457.24	$587.88	$840.00
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