Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.00 / $4,984.75 / $20,000.00	Facility		$277.00	$4,984.75	$20,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $47.59 / $47.59 / $122.55	Facility	52	$47.59	$47.59	$122.55
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.03 / $19.03 / $49.02	Facility	53	$19.03	$19.03	$49.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $216.55 / $370.08	Professional		$95.17	$216.55	$370.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $7,478.00 / $16,171.00	Facility		$3,536.00	$7,478.00	$16,171.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $228.16 / $391.44	Professional		$99.61	$228.16	$391.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $235.62 / $385.46	Professional		$124.05	$235.62	$385.46
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $97.07 / $228.01 / $406.86	Facility		$97.07	$228.01	$406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $166.16 / $353.16	Professional		$105.66	$166.16	$353.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.00 / $2,537.00 / $12,824.00	Facility		$1,261.00	$2,537.00	$12,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $351.07 / $548.54	Professional		$262.08	$351.07	$548.54