Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.16 / $3,349.00 / $9,888.00	Facility		$617.16	$3,349.00	$9,888.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $333.17 / $333.17 / $368.51	Facility	54	$333.17	$333.17	$368.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.19 / $460.75 / $676.26	Professional		$398.19	$460.75	$676.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $5,126.00 / $9,729.00	Facility		$3,434.00	$5,126.00	$9,729.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.93 / $619.23 / $993.00	Professional		$472.93	$619.23	$993.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.69 / $1,200.69 / $3,782.24	Facility		$1,200.69	$1,200.69	$3,782.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.18 / $610.52 / $928.55	Professional		$463.18	$610.52	$928.55
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $577.49 / $790.71	Facility		$444.22	$577.49	$790.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.80 / $677.32 / $963.23	Professional		$510.80	$677.32	$963.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,852.00 / $6,118.00 / $11,599.00	Facility		$2,852.00	$6,118.00	$11,599.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.24 / $659.06 / $1,143.26	Professional		$482.24	$659.06	$1,143.26