Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.82 / $3,189.00 / $8,734.00	Facility		$658.82	$3,189.00	$8,734.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $352.28 / $352.28 / $395.36	Facility	54	$352.28	$352.28	$395.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $469.70 / $722.12	Professional		$413.35	$469.70	$722.12
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 $500.43 / $655.24 / $1,050.75	Professional		$500.43	$655.24	$1,050.75
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 $490.24 / $648.69 / $990.15	Professional		$490.24	$648.69	$990.15
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $473.98 / $615.21 / $843.44	Facility		$473.98	$615.21	$843.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.03 / $725.48 / $1,033.42	Professional		$548.03	$725.48	$1,033.42
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 $516.12 / $711.51 / $1,379.19	Professional		$516.12	$711.51	$1,379.19