Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.34 / $3,027.00 / $8,568.00	Facility		$93.34	$3,027.00	$8,568.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.74 / $28.74 / $46.67	Facility	52	$28.74	$28.74	$46.67
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $11.50 / $11.50 / $18.67	Facility	53	$11.50	$11.50	$18.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $108.35 / $290.97	Professional		$57.48	$108.35	$290.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.74 / $46.67 / $60.55	Professional	52	$28.74	$46.67	$60.55
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $11.50 / $18.67 / $42.15	Professional	53	$11.50	$18.67	$42.15
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 $76.05 / $121.19 / $199.19	Professional		$76.05	$121.19	$199.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $128.58 / $192.91	Professional		$93.83	$128.58	$192.91
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $308.58 / $308.58 / $308.58	Professional	53	$308.58	$308.58	$308.58
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $119.01 / $160.19	Facility		$68.98	$119.01	$160.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $121.08 / $196.61	Professional		$79.50	$121.08	$196.61
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $1,464.00 / $3,011.00	Facility		$658.00	$1,464.00	$3,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $156.80 / $293.05	Professional		$120.40	$156.80	$293.05