Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.75 / $3,008.00 / $8,568.00	Facility		$229.75	$3,008.00	$8,568.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.49 / $114.88 / $2,498.50	Facility	52	$40.49	$114.88	$2,498.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.20 / $16.20 / $45.95	Facility	53	$16.20	$16.20	$45.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $229.75 / $385.35	Professional		$80.98	$229.75	$385.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $40.49 / $114.88 / $154.02	Professional	52	$40.49	$114.88	$154.02
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $16.20 / $45.95 / $61.61	Professional	53	$16.20	$45.95	$61.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.00 / $2,971.00 / $7,022.00	Facility		$1,974.00	$2,971.00	$7,022.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $255.38 / $456.98	Professional		$95.98	$255.38	$456.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $228.32 / $409.74	Professional		$118.48	$228.32	$409.74
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $220.92 / $370.28	Facility		$95.96	$220.92	$370.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $238.59 / $409.70	Professional		$102.00	$238.59	$409.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,011.00 / $3,651.00	Facility		$1,170.00	$2,011.00	$3,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.39 / $350.40 / $722.37	Professional		$249.39	$350.40	$722.37