Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.00 / $3,349.00 / $9,872.00	Facility		$932.00	$3,349.00	$9,872.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,637.60 / $2,637.60 / $2,637.60	Facility	50	$2,637.60	$2,637.60	$2,637.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $158.44 / $234.52	Professional		$105.16	$158.44	$234.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $634.16 / $634.16 / $1,175.86	Professional	50	$634.16	$634.16	$1,175.86
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 $118.81 / $152.63 / $243.00	Professional		$118.81	$152.63	$243.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.27 / $166.26 / $189.36	Professional	50	$131.27	$166.26	$189.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.24 / $123.24 / $388.20	Facility		$123.24	$123.24	$388.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.84 / $207.05 / $319.94	Professional		$134.84	$207.05	$319.94
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $105.16 / $158.44 / $266.97	Facility		$105.16	$158.44	$266.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $192.05 / $288.07	Professional		$135.97	$192.05	$288.07
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 $189.82 / $264.60 / $388.80	Professional		$189.82	$264.60	$388.80