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 $299.89 / $299.89 / $302.48	Facility	54	$299.89	$299.89	$302.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.84 / $399.86 / $554.49	Professional		$358.84	$399.86	$554.49
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 $425.06 / $556.55 / $892.50	Professional		$425.06	$556.55	$892.50
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 $403.20 / $530.92 / $770.27	Professional		$403.20	$530.92	$770.27
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $387.26 / $507.78 / $679.76	Facility		$387.26	$507.78	$679.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.23 / $567.01 / $790.61	Professional		$439.23	$567.01	$790.61
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 $391.65 / $537.11 / $872.17	Professional		$391.65	$537.11	$872.17