Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $3,349.00 / $10,651.00	Facility		$900.57	$3,349.00	$10,651.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $537.09 / $537.09 / $618.33	Facility	54	$537.09	$537.09	$618.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.42 / $589.10 / $1,164.18	Professional		$469.42	$589.10	$1,164.18
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $350.96 / $441.83 / $618.33	Professional	54	$350.96	$441.83	$618.33
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $70.19 / $88.37 / $123.67	Professional	55	$70.19	$88.37	$123.67
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 $622.17 / $818.02 / $1,187.19	Professional		$622.17	$818.02	$1,187.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $795.83 / $972.95 / $1,057.56	Professional	50	$795.83	$972.95	$1,057.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.75 / $794.33 / $1,187.24	Professional		$553.75	$794.33	$1,187.24
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $637.59 / $824.44 / $1,178.95	Facility		$637.59	$824.44	$1,178.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $656.45 / $893.14 / $1,171.33	Professional		$656.45	$893.14	$1,171.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,463.00 / $4,182.00 / $7,179.00	Facility		$1,463.00	$4,182.00	$7,179.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.34 / $875.09 / $1,512.87	Professional		$661.34	$875.09	$1,512.87