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 $166.37 / $166.37 / $189.59	Facility	54	$166.37	$166.37	$189.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $224.14 / $370.43	Professional		$177.78	$224.14	$370.43
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 $226.77 / $306.81 / $487.73	Professional		$226.77	$306.81	$487.73
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 $232.98 / $305.87 / $463.60	Professional		$232.98	$305.87	$463.60
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $221.82 / $288.25 / $400.73	Facility		$221.82	$288.25	$400.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.77 / $347.00 / $494.15	Professional		$262.77	$347.00	$494.15
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $368.96 / $368.96 / $420.45	Professional	54	$368.96	$368.96	$420.45
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 $246.96 / $328.79 / $533.90	Professional		$246.96	$328.79	$533.90