Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.00 / $3,133.00 / $8,568.00	Facility		$932.00	$3,133.00	$8,568.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.18 / $64.79 / $161.97	Facility	53	$31.18	$64.79	$161.97
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $600.00 / $1,652.00	Facility		$263.52	$600.00	$1,652.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $323.94 / $519.77	Facility		$167.40	$323.94	$519.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $345.96 / $571.14	Professional		$196.76	$345.96	$571.14
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $98.61 / $172.98 / $286.70	Professional	53	$98.61	$172.98	$286.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,463.00 / $4,182.00 / $7,016.00	Facility		$1,463.00	$4,182.00	$7,016.00