Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.69 / $3,189.00 / $9,872.00	Facility		$222.69	$3,189.00	$9,872.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $151.02 / $151.02 / $167.02	Facility	54	$151.02	$151.02	$167.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $201.36 / $325.76	Professional		$164.59	$201.36	$325.76
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 $205.00 / $277.33 / $440.89	Professional		$205.00	$277.33	$440.89
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 $211.18 / $278.76 / $421.12	Professional		$211.18	$278.76	$421.12
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $201.36 / $264.80 / $359.59	Facility		$201.36	$264.80	$359.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.50 / $307.01 / $436.55	Professional		$231.50	$307.01	$436.55
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $334.92 / $334.92 / $370.41	Professional	54	$334.92	$334.92	$370.41
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 $216.30 / $293.55 / $508.43	Professional		$216.30	$293.55	$508.43