Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.23 / $3,889.00 / $9,872.00	Facility		$902.23	$3,889.00	$9,872.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $207.28 / $207.28 / $216.83	Facility	54	$207.28	$207.28	$216.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $269.42 / $390.42	Professional		$222.33	$269.42	$390.42
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 $284.20 / $379.63 / $613.50	Professional		$284.20	$379.63	$613.50
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 $265.39 / $360.71 / $533.79	Professional		$265.39	$360.71	$533.79
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $263.85 / $339.24 / $477.07	Facility		$263.85	$339.24	$477.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $404.99 / $566.76	Professional		$309.14	$404.99	$566.76
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 $273.60 / $370.08 / $655.35	Professional		$273.60	$370.08	$655.35