Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $3,133.00 / $8,734.00	Facility		$262.77	$3,133.00	$8,734.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $152.22 / $152.22 / $162.28	Facility	54	$152.22	$152.22	$162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $200.22 / $328.95	Professional		$162.06	$200.22	$328.95
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $127.33 / $152.22 / $202.69	Professional	54	$127.33	$152.22	$202.69
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 $206.03 / $276.60 / $443.12	Professional		$206.03	$276.60	$443.12
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 $192.82 / $262.74 / $392.46	Professional		$192.82	$262.74	$392.46
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $192.38 / $246.71 / $346.19	Facility		$192.38	$246.71	$346.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.09 / $301.43 / $424.18	Professional		$231.09	$301.43	$424.18
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $337.60 / $337.60 / $359.91	Professional	54	$337.60	$337.60	$359.91
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 $194.47 / $269.36 / $441.16	Professional		$194.47	$269.36	$441.16