Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.23 / $3,889.00 / $9,872.00	Facility		$902.23	$3,889.00	$9,872.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $158.19 / $158.19 / $158.19	Facility	50	$158.19	$158.19	$158.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $79.98 / $123.28	Professional		$43.91	$79.98	$123.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $345.31 / $345.31 / $345.31	Professional	50	$345.31	$345.31	$345.31
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 $51.17 / $66.33 / $113.19	Professional		$51.17	$66.33	$113.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $116.83 / $127.16 / $145.88	Professional	50	$116.83	$127.16	$145.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.27 / $72.27 / $227.67	Facility		$72.27	$72.27	$227.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $112.60 / $178.54	Professional		$58.99	$112.60	$178.54
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $52.69 / $109.08 / $166.92	Facility		$52.69	$109.08	$166.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $88.70 / $145.44	Professional		$57.66	$88.70	$145.44
United Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $1,491.00 / $2,720.00	Facility		$730.00	$1,491.00	$2,720.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $132.96 / $193.80	Professional		$85.32	$132.96	$193.80