Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.70 / $3,133.00 / $8,734.00	Facility		$1,207.70	$3,133.00	$8,734.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.46 / $99.46 / $99.46	Facility	52	$99.46	$99.46	$99.46
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.78 / $39.78 / $39.78	Facility	53	$39.78	$39.78	$39.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $5,082.00 / $9,729.00	Facility		$3,434.00	$5,082.00	$9,729.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.67 / $800.00 / $2,213.00	Facility		$225.67	$800.00	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $198.91 / $289.68 / $379.79	Facility		$198.91	$289.68	$379.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.74 / $289.68 / $405.55	Professional		$231.74	$289.68	$405.55
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $6.18 / $6.18 / $6.18	Professional	80	$6.18	$6.18	$6.18
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $5.25 / $5.25 / $5.25	Professional	AS	$5.25	$5.25	$5.25
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