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 $244.55 / $244.55 / $265.70	Facility	54	$244.55	$244.55	$265.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.92 / $323.18 / $526.40	Professional		$257.92	$323.18	$526.40
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 $331.87 / $448.54 / $720.00	Professional		$331.87	$448.54	$720.00
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 $321.48 / $434.75 / $662.19	Professional		$321.48	$434.75	$662.19
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $322.83 / $408.04 / $566.85	Facility		$322.83	$408.04	$566.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.31 / $491.08 / $694.52	Professional		$368.31	$491.08	$694.52
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $542.37 / $542.37 / $589.29	Professional	54	$542.37	$542.37	$589.29
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 $345.60 / $468.44 / $786.65	Professional		$345.60	$468.44	$786.65