Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.25 / $1,560.00 / $6,886.00	Facility		$628.25	$1,560.00	$6,886.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.77 / $99.77 / $314.13	Facility	52	$99.77	$99.77	$314.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $307.01 / $1,014.94	Professional		$199.54	$307.01	$1,014.94
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
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.95 / $606.54 / $1,193.77	Professional		$239.95	$606.54	$1,193.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $800.00 / $2,213.00	Facility		$336.48	$800.00	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.78 / $396.97 / $1,174.24	Professional		$251.78	$396.97	$1,174.24
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $205.84 / $391.63 / $970.29	Facility		$205.84	$391.63	$970.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.85 / $640.45 / $1,066.48	Professional		$251.85	$640.45	$1,066.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,349.00 / $3,400.00 / $6,353.00	Facility		$1,349.00	$3,400.00	$6,353.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.97 / $859.74 / $1,456.74	Professional		$333.97	$859.74	$1,456.74