Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $440.00 / $560.00	Facility		$45.00	$440.00	$560.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,253.03 / $1,505.83 / $1,816.19	Professional	AA	$1,253.03	$1,505.83	$1,816.19
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $678.25 / $828.97 / $993.40	Professional	QK	$678.25	$828.97	$993.40
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $671.40 / $794.72 / $972.84	Professional	QX	$671.40	$794.72	$972.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Professional	QZ	$1,225.00	$1,225.00	$1,225.00
Cigna Facility/Professional Professional Modifier QK Low / Median / High Price $240.00 / $240.00 / $240.00	Professional	QK	$240.00	$240.00	$240.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $240.00 / $240.00 / $240.00	Professional	QX	$240.00	$240.00	$240.00
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 $416.00 / $600.00 / $994.56	Professional		$416.00	$600.00	$994.56