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 $226.64 / $226.64 / $244.18	Facility	54	$226.64	$226.64	$244.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.43 / $302.18 / $442.34	Professional		$229.43	$302.18	$442.34
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 $308.70 / $414.44 / $669.75	Professional		$308.70	$414.44	$669.75
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 $297.35 / $396.50 / $606.87	Professional		$297.35	$396.50	$606.87
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $293.01 / $377.84 / $522.70	Facility		$293.01	$377.84	$522.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.47 / $451.29 / $638.25	Professional		$338.47	$451.29	$638.25
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $502.64 / $502.64 / $541.54	Professional	54	$502.64	$502.64	$541.54
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 $304.08 / $420.96 / $685.00	Professional		$304.08	$420.96	$685.00