Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.26 / $3,760.00 / $8,568.00	Facility		$601.26	$3,760.00	$8,568.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,562.15 / $2,562.15 / $6,805.75	Facility	50	$2,562.15	$2,562.15	$6,805.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $342.95 / $855.31	Professional		$100.02	$342.95	$855.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $5,126.00 / $9,729.00	Facility		$3,434.00	$5,126.00	$9,729.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $388.57 / $1,163.60	Professional		$119.56	$388.57	$1,163.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.91 / $566.39 / $1,148.24	Professional	50	$119.91	$566.39	$1,148.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $276.02 / $1,087.44	Professional		$126.88	$276.02	$1,087.44
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $541.13 / $973.31	Facility		$100.02	$541.13	$973.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $362.36 / $1,011.04	Professional		$125.98	$362.36	$1,011.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.00 / $2,537.00 / $3,847.00	Facility		$1,261.00	$2,537.00	$3,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.52 / $872.94 / $1,446.30	Professional		$578.52	$872.94	$1,446.30