Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.85 / $3,349.00 / $9,872.00	Facility		$224.85	$3,349.00	$9,872.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $95.93 / $95.93 / $95.93	Facility	54	$95.93	$95.93	$95.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $120.50 / $175.08	Professional		$102.07	$120.50	$175.08
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $82.46 / $94.11 / $131.31	Professional	54	$82.46	$94.11	$131.31
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 $129.29 / $174.91 / $278.06	Professional		$129.29	$174.91	$278.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.90 / $114.90 / $361.94	Facility		$114.90	$114.90	$361.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $164.37 / $238.50	Professional		$123.06	$164.37	$238.50
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $123.31 / $154.99 / $222.90	Facility		$123.31	$154.99	$222.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $189.95 / $321.64	Professional		$145.62	$189.95	$321.64
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $212.74 / $212.74 / $212.74	Professional	54	$212.74	$212.74	$212.74
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 $124.92 / $166.56 / $270.45	Professional		$124.92	$166.56	$270.45