Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $3,221.00 / $7,617.00	Facility		$318.75	$3,221.00	$7,617.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.89 / $27.89 / $63.75	Facility	53	$27.89	$27.89	$63.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.46 / $259.64 / $558.13	Professional		$139.46	$259.64	$558.13
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 $183.01 / $405.00 / $707.88	Professional		$183.01	$405.00	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.37 / $302.12 / $630.23	Professional		$217.37	$302.12	$630.23
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $167.35 / $311.62 / $526.99	Facility		$167.35	$311.62	$526.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.35 / $373.02 / $614.91	Professional		$194.35	$373.02	$614.91
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $249.24 / $249.24 / $569.70	Professional	53	$249.24	$249.24	$569.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,852.00 / $6,090.00 / $14,057.00	Facility		$2,852.00	$6,090.00	$14,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $518.55 / $835.48	Professional		$304.00	$518.55	$835.48