Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.25 / $3,612.20 / $9,880.69	Facility		$758.25	$3,612.20	$9,880.69
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.81 / $105.81 / $592.15	Facility	52	$105.81	$105.81	$592.15
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.32 / $42.32 / $236.86	Facility	53	$42.32	$42.32	$236.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.61 / $368.93 / $1,792.27	Professional		$211.61	$368.93	$1,792.27
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $42.32 / $77.47 / $329.88	Professional	53	$42.32	$77.47	$329.88
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 $279.39 / $912.86 / $2,643.43	Professional		$279.39	$912.86	$2,643.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.38 / $437.54 / $2,562.66	Professional		$317.38	$437.54	$2,562.66
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $253.93 / $424.94 / $1,989.62	Facility		$253.93	$424.94	$1,989.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.91 / $852.28 / $2,268.27	Professional		$294.91	$852.28	$2,268.27
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $378.20 / $378.20 / $2,116.62	Professional	22	$378.20	$378.20	$2,116.62
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $378.20 / $378.20 / $2,116.62	Professional	53	$378.20	$378.20	$2,116.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $6,090.00 / $14,057.00	Facility		$2,645.00	$6,090.00	$14,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.96 / $1,940.89 / $3,573.78	Professional		$388.96	$1,940.89	$3,573.78