Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,506.00 / $6,028.00 / $10,651.00	Facility		$2,506.00	$6,028.00	$10,651.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $796.85 / $796.85 / $796.85	Facility	54	$796.85	$796.85	$796.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.73 / $860.91 / $1,766.16	Professional		$711.73	$860.91	$1,766.16
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $100.89 / $117.50 / $159.37	Professional	55	$100.89	$117.50	$159.37
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 $927.61 / $1,219.58 / $1,769.99	Professional		$927.61	$1,219.58	$1,769.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.46 / $1,152.65 / $1,786.42	Professional		$806.46	$1,152.65	$1,786.42
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $924.60 / $1,135.36 / $1,712.99	Facility		$924.60	$1,135.36	$1,712.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.66 / $1,230.69 / $1,664.53	Professional		$929.66	$1,230.69	$1,664.53
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $1,487.46 / $1,487.46 / $1,487.46	Professional	54	$1,487.46	$1,487.46	$1,487.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $6,090.00 / $14,057.00	Facility		$2,645.00	$6,090.00	$14,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $901.95 / $1,209.30 / $1,871.72	Professional		$901.95	$1,209.30	$1,871.72