Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.86 / $3,593.25 / $6,513.38	Facility		$535.86	$3,593.25	$6,513.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,691.51 / $8,335.12 / $16,704.80	Facility	50	$4,691.51	$8,335.12	$16,704.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $448.18 / $738.95	Professional		$366.14	$448.18	$738.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $839.55 / $1,960.00 / $2,906.72	Professional	50	$839.55	$1,960.00	$2,906.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $5,126.00 / $9,729.00	Facility		$3,434.00	$5,126.00	$9,729.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.29 / $626.25 / $1,011.88	Professional		$478.29	$626.25	$1,011.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $493.86 / $594.59 / $817.69	Professional	50	$493.86	$594.59	$817.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.79 / $1,324.79 / $4,173.14	Facility		$1,324.79	$1,324.79	$4,173.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.25 / $596.00 / $864.92	Professional		$446.25	$596.00	$864.92
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $440.56 / $561.32 / $793.01	Facility		$440.56	$561.32	$793.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.96 / $643.03 / $896.62	Professional		$493.96	$643.03	$896.62
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $747.62 / $747.62 / $760.77	Professional	22	$747.62	$747.62	$760.77
United Facility/Professional Facility Modifier Low / Median / High Price $5,010.00 / $7,918.00 / $14,057.00	Facility		$5,010.00	$7,918.00	$14,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.52 / $614.45 / $1,031.83	Professional		$452.52	$614.45	$1,031.83