Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.70 / $3,189.00 / $8,734.00	Facility		$291.70	$3,189.00	$8,734.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $178.92 / $183.31 / $233.75	Facility	54	$178.92	$183.31	$233.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $228.45 / $400.13	Professional		$183.87	$228.45	$400.13
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 $248.55 / $333.68 / $539.25	Professional		$248.55	$333.68	$539.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.67 / $184.67 / $581.71	Facility		$184.67	$184.67	$581.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.26 / $310.24 / $448.81	Professional		$226.26	$310.24	$448.81
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $223.82 / $283.44 / $406.30	Facility		$223.82	$283.44	$406.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.18 / $343.63 / $479.14	Professional		$262.18	$343.63	$479.14
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $396.82 / $396.82 / $406.54	Professional	54	$396.82	$396.82	$406.54
United Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $1,491.00 / $2,720.00	Facility		$730.00	$1,491.00	$2,720.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.36 / $299.29 / $520.04	Professional		$217.36	$299.29	$520.04