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 $249.71 / $249.71 / $280.93	Facility	54	$249.71	$249.71	$280.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $332.95 / $568.40	Professional		$256.92	$332.95	$568.40
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 $340.51 / $457.13 / $738.75	Professional		$340.51	$457.13	$738.75
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 $325.72 / $444.00 / $684.12	Professional		$325.72	$444.00	$684.12
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $329.65 / $412.06 / $591.60	Facility		$329.65	$412.06	$591.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.41 / $515.51 / $734.32	Professional		$389.41	$515.51	$734.32
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 $347.20 / $476.16 / $895.03	Professional		$347.20	$476.16	$895.03