Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.25 / $1,165.00 / $5,077.00	Facility		$242.25	$1,165.00	$5,077.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $858.00 / $2,456.26 / $7,436.81	Facility	50	$858.00	$2,456.26	$7,436.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.68 / $21.68 / $48.45	Facility	53	$21.68	$21.68	$48.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $219.72 / $426.40	Professional		$95.09	$219.72	$426.40
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $123.10 / $123.10 / $731.06	Professional	22	$123.10	$123.10	$731.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.60 / $524.54 / $1,334.00	Professional	50	$147.60	$524.54	$1,334.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $21.68 / $41.18 / $62.49	Professional	53	$21.68	$41.18	$62.49
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 $118.83 / $154.34 / $245.35	Professional		$118.83	$154.34	$245.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $130.99 / $149.88 / $229.61	Professional	50	$130.99	$149.88	$229.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.56 / $684.56 / $2,156.40	Facility		$684.56	$684.56	$2,156.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $251.71 / $434.08	Professional		$128.22	$251.71	$434.08
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $115.98 / $242.26 / $442.66	Facility		$115.98	$242.26	$442.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $246.35 / $421.05	Professional		$142.34	$246.35	$421.05
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $183.94 / $183.94 / $411.11	Professional	22	$183.94	$183.94	$411.11
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 $249.41 / $351.43 / $572.04	Professional		$249.41	$351.43	$572.04