Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $3,008.00 / $7,617.00	Facility		$1,084.00	$3,008.00	$7,617.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $44.11 / $44.11 / $134.79	Facility	52	$44.11	$44.11	$134.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.64 / $17.64 / $53.92	Facility	53	$17.64	$17.64	$53.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $186.79 / $366.68	Professional		$88.21	$186.79	$366.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.00 / $2,866.00 / $7,022.00	Facility		$1,974.00	$2,866.00	$7,022.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $246.70 / $497.28	Professional		$105.74	$246.70	$497.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $600.00 / $1,652.00	Facility		$147.60	$600.00	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	52	$118.08	$118.08	$118.08
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $29.52 / $29.52	Facility	53	$29.52	$29.52	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $217.10 / $449.02	Professional		$110.07	$217.10	$449.02
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $94.20 / $243.66 / $409.28	Facility		$94.20	$243.66	$409.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $274.82 / $450.66	Professional		$111.33	$274.82	$450.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,330.00 / $3,344.00 / $7,016.00	Facility		$1,330.00	$3,344.00	$7,016.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.66 / $341.86 / $585.66	Professional		$248.66	$341.86	$585.66