Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $3,133.00 / $11,929.00	Facility		$308.95	$3,133.00	$11,929.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.02 / $102.02 / $337.34	Facility	52	$102.02	$102.02	$337.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $538.65 / $907.62	Professional		$181.21	$538.65	$907.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.02 / $337.34 / $500.94	Professional	52	$102.02	$337.34	$500.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $8,579.00 / $19,250.00	Facility		$5,200.00	$8,579.00	$19,250.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.34 / $616.70 / $1,094.26	Professional		$213.34	$616.70	$1,094.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.27 / $494.31 / $1,050.19	Professional		$243.27	$494.31	$1,050.19
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $208.11 / $622.44 / $1,051.13	Facility		$208.11	$622.44	$1,051.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $457.41 / $988.04	Professional		$226.51	$457.41	$988.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,527.00 / $8,586.00 / $16,586.00	Facility		$3,527.00	$8,586.00	$16,586.00
United Facility/Professional Professional Modifier Low / Median / High Price $749.76 / $952.80 / $1,614.10	Professional		$749.76	$952.80	$1,614.10