Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.21 / $1,252.45 / $6,028.00	Facility		$126.21	$1,252.45	$6,028.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.00 / $1,662.00 / $5,469.73	Facility	50	$831.00	$1,662.00	$5,469.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $159.12 / $306.24	Professional		$87.29	$159.12	$306.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.34 / $280.16 / $1,472.00	Professional	50	$130.34	$280.16	$1,472.00
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 $96.86 / $126.72 / $200.00	Professional		$96.86	$126.72	$200.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $111.69 / $140.31 / $195.35	Professional	50	$111.69	$140.31	$195.35
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 $109.44 / $187.17 / $310.02	Professional		$109.44	$187.17	$310.02
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $176.04 / $281.66	Facility		$97.11	$176.04	$281.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $197.12 / $336.64	Professional		$116.48	$197.12	$336.64
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $2.87 / $2.87 / $5.69	Professional	80	$2.87	$2.87	$5.69
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 $190.13 / $275.77 / $435.59	Professional		$190.13	$275.77	$435.59