Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.06 / $3,189.00 / $9,872.00	Facility		$396.06	$3,189.00	$9,872.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,523.50 / $1,944.64 / $1,944.64	Facility	50	$1,523.50	$1,944.64	$1,944.64
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $277.13 / $277.13 / $297.05	Facility	54	$277.13	$277.13	$297.05
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $55.43 / $55.43 / $59.41	Facility	55	$55.43	$55.43	$59.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.77 / $320.08 / $540.60	Professional		$251.77	$320.08	$540.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.08 / $436.08 / $562.74	Professional	50	$436.08	$436.08	$562.74
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $181.56 / $214.96 / $297.05	Professional	54	$181.56	$214.96	$297.05
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $36.31 / $42.99 / $59.41	Professional	55	$36.31	$42.99	$59.41
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 $323.26 / $425.01 / $616.80	Professional		$323.26	$425.01	$616.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $383.68 / $503.83 / $547.65	Professional	50	$383.68	$503.83	$547.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.93 / $397.50 / $606.76	Professional		$268.93	$397.50	$606.76
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $403.82 / $620.76	Facility		$310.61	$403.82	$620.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $442.28 / $565.64	Professional		$330.06	$442.28	$565.64
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $517.30 / $517.30 / $554.50	Professional	54	$517.30	$517.30	$554.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.00 / $2,537.00 / $3,847.00	Facility		$1,261.00	$2,537.00	$3,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.88 / $438.50 / $704.99	Professional		$316.88	$438.50	$704.99