Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.70 / $1,532.00 / $6,680.00	Facility		$668.70	$1,532.00	$6,680.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $128.59 / $128.59 / $334.35	Facility	52	$128.59	$128.59	$334.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.44 / $51.44 / $133.74	Facility	53	$51.44	$51.44	$133.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.18 / $544.47 / $1,009.73	Professional		$257.18	$544.47	$1,009.73
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 $288.87 / $377.03 / $562.96	Professional		$288.87	$377.03	$562.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.63 / $800.00 / $2,213.00	Facility		$434.63	$800.00	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.14 / $581.97 / $1,230.29	Professional		$325.14	$581.97	$1,230.29
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $645.77 / $1,029.80	Facility		$281.25	$645.77	$1,029.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.60 / $681.68 / $1,130.27	Professional		$324.60	$681.68	$1,130.27
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
United Facility/Professional Professional Modifier Low / Median / High Price $695.31 / $1,000.99 / $1,571.30	Professional		$695.31	$1,000.99	$1,571.30