Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $1,084.00 / $6,419.00	Facility		$214.00	$1,084.00	$6,419.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.86 / $49.86 / $67.05	Facility	52	$49.86	$49.86	$67.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $120.55 / $224.90	Professional		$86.67	$120.55	$224.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.00 / $2,971.00 / $7,022.00	Facility		$1,974.00	$2,971.00	$7,022.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $161.32 / $248.88	Professional		$113.55	$161.32	$248.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $141.12 / $198.28	Professional		$104.41	$141.12	$198.28
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $92.79 / $134.33 / $185.44	Facility		$92.79	$134.33	$185.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $162.63 / $257.77	Professional		$116.17	$162.63	$257.77
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $1,464.00 / $3,011.00	Facility		$658.00	$1,464.00	$3,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.56 / $170.66 / $275.01	Professional		$133.56	$170.66	$275.01