Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.00 / $3,889.00 / $9,872.00	Facility		$915.00	$3,889.00	$9,872.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $187.68 / $187.68 / $194.39	Facility	54	$187.68	$187.68	$194.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.41 / $239.98 / $377.86	Professional		$195.41	$239.98	$377.86
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 $263.42 / $353.64 / $571.50	Professional		$263.42	$353.64	$571.50
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 $239.97 / $321.12 / $476.65	Professional		$239.97	$321.12	$476.65
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $238.10 / $298.88 / $431.91	Facility		$238.10	$298.88	$431.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.14 / $364.39 / $508.09	Professional		$277.14	$364.39	$508.09
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 $230.58 / $314.43 / $521.44	Professional		$230.58	$314.43	$521.44