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 $369.49 / $369.49 / $376.19	Facility	54	$369.49	$369.49	$376.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.38 / $492.65 / $677.60	Professional		$443.38	$492.65	$677.60
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 $521.13 / $687.05 / $1,101.75	Professional		$521.13	$687.05	$1,101.75
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 $493.70 / $654.79 / $956.76	Professional		$493.70	$654.79	$956.76
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $486.58 / $610.67 / $842.67	Facility		$486.58	$610.67	$842.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.41 / $705.21 / $983.33	Professional		$541.41	$705.21	$983.33
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $819.45 / $819.45 / $834.34	Professional	54	$819.45	$819.45	$834.34
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 $492.36 / $652.82 / $1,142.92	Professional		$492.36	$652.82	$1,142.92