Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.50 / $1,900.00 / $6,423.00	Facility		$593.50	$1,900.00	$6,423.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,361.10 / $2,361.10 / $2,361.10	Facility	22	$2,361.10	$2,361.10	$2,361.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.20 / $126.20 / $230.57	Facility	52	$126.20	$126.20	$230.57
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.48 / $50.48 / $92.23	Facility	53	$50.48	$50.48	$92.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.40 / $461.14 / $904.29	Professional		$252.40	$461.14	$904.29
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $50.17 / $84.51 / $134.54	Professional	53	$50.17	$84.51	$134.54
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 $286.55 / $367.56 / $531.08	Professional		$286.55	$367.56	$531.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $800.00 / $2,213.00	Facility		$426.66	$800.00	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $503.59 / $823.94	Professional		$319.39	$503.59	$823.94
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $273.54 / $462.34 / $772.92	Facility		$273.54	$462.34	$772.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.57 / $537.25 / $886.47	Professional		$318.57	$537.25	$886.47
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $411.68 / $411.68 / $752.15	Professional	53	$411.68	$411.68	$752.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,330.00 / $2,155.00 / $5,268.00	Facility		$1,330.00	$2,155.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.60 / $699.16 / $1,098.94	Professional		$483.60	$699.16	$1,098.94