Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $330.00 / $420.00	Facility		$45.00	$330.00	$420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $45.00 / $453.66	Professional		$31.82	$45.00	$453.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $282.00 / $474.00	Professional		$151.97	$282.00	$474.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $365.00 / $503.50	Professional		$250.00	$365.00	$503.50
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 $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 $312.00 / $450.00 / $745.92	Professional		$312.00	$450.00	$745.92
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $72.00 / $100.00	Professional		$42.00	$72.00	$100.00