Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.00 / $3,889.00 / $9,872.00	Facility		$915.00	$3,889.00	$9,872.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $542.00 / $542.00 / $542.00	Facility	50	$542.00	$542.00	$542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $127.15 / $181.94	Professional		$74.20	$127.15	$181.94
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 $86.13 / $109.13 / $172.50	Professional		$86.13	$109.13	$172.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.53 / $149.03 / $218.02	Professional	50	$128.53	$149.03	$218.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.46 / $532.46 / $1,677.28	Facility		$532.46	$532.46	$1,677.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $163.36 / $246.61	Professional		$99.07	$163.36	$246.61
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $130.19 / $218.72	Facility		$74.20	$130.19	$218.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $148.41 / $236.70	Professional		$97.45	$148.41	$236.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,361.00 / $2,537.00 / $3,681.00	Facility		$1,361.00	$2,537.00	$3,681.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $210.01 / $318.76	Professional		$151.91	$210.01	$318.76