Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.00 / $3,847.61 / $9,872.00	Facility		$932.00	$3,847.61	$9,872.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $208.83 / $208.83 / $264.62	Facility	54	$208.83	$208.83	$264.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $290.12 / $585.69	Professional		$227.86	$290.12	$585.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $442.29 / $442.29 / $742.89	Professional	50	$442.29	$442.29	$742.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $137.63 / $208.83 / $264.62	Professional	54	$137.63	$208.83	$264.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $27.53 / $41.77 / $52.92	Professional	55	$27.53	$41.77	$52.92
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 $254.17 / $327.23 / $464.41	Professional		$254.17	$327.23	$464.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $345.80 / $381.26 / $414.42	Professional	50	$345.80	$381.26	$414.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $390.82 / $598.19	Professional		$240.62	$390.82	$598.19
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $278.44 / $394.42 / $558.03	Facility		$278.44	$394.42	$558.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $367.54 / $493.97	Professional		$255.24	$367.54	$493.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,361.00 / $2,537.00 / $3,847.00	Facility		$1,361.00	$2,537.00	$3,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.45 / $432.99 / $661.73	Professional		$317.45	$432.99	$661.73