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 $197.85 / $197.85 / $212.56	Facility	54	$197.85	$197.85	$212.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $263.80 / $445.59	Professional		$215.43	$263.80	$445.59
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 $267.57 / $359.21 / $580.50	Professional		$267.57	$359.21	$580.50
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 $253.24 / $343.79 / $520.66	Professional		$253.24	$343.79	$520.66
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $324.50 / $453.46	Facility		$255.00	$324.50	$453.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.37 / $392.84 / $555.59	Professional		$300.37	$392.84	$555.59
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $438.80 / $438.80 / $471.41	Professional	54	$438.80	$438.80	$471.41
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 $271.39 / $360.48 / $722.29	Professional		$271.39	$360.48	$722.29