Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.00 / $1,716.00 / $5,041.00	Facility		$271.00	$1,716.00	$5,041.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,326.81 / $1,326.81 / $1,326.81	Facility	50	$1,326.81	$1,326.81	$1,326.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $130.61 / $282.70	Professional		$72.68	$130.61	$282.70
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 $103.70 / $200.01 / $337.03	Professional		$103.70	$200.01	$337.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $142.44 / $262.27	Professional		$88.43	$142.44	$262.27
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $157.00 / $249.30	Facility		$93.55	$157.00	$249.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $185.68 / $314.02	Professional		$109.21	$185.68	$314.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,577.00 / $4,182.00 / $7,179.00	Facility		$1,577.00	$4,182.00	$7,179.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $199.81 / $348.01	Professional		$145.83	$199.81	$348.01