Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.00 / $3,027.00 / $7,416.00	Facility		$542.00	$3,027.00	$7,416.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.90 / $34.90 / $198.64	Facility	53	$34.90	$34.90	$198.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $630.60 / $1,388.56	Professional		$148.71	$630.60	$1,388.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $5,126.00 / $9,729.00	Facility		$3,434.00	$5,126.00	$9,729.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $719.88 / $1,656.79	Professional		$181.79	$719.88	$1,656.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $408.00 / $1,657.73	Professional		$192.64	$408.00	$1,657.73
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $174.52 / $314.14 / $1,441.46	Facility		$174.52	$314.14	$1,441.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $550.40 / $1,444.46	Professional		$190.51	$550.40	$1,444.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,463.00 / $4,182.00 / $7,179.00	Facility		$1,463.00	$4,182.00	$7,179.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.75 / $1,581.95 / $2,551.53	Professional		$1,187.75	$1,581.95	$2,551.53