Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,551.00 / $6,028.00 / $10,651.00	Facility		$2,551.00	$6,028.00	$10,651.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $755.15 / $755.15 / $755.15	Facility	54	$755.15	$755.15	$755.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.44 / $841.07 / $1,356.62	Professional		$663.44	$841.07	$1,356.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.16 / $114.17 / $151.03	Professional	55	$95.16	$114.17	$151.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,946.00 / $9,472.00 / $17,487.00	Facility		$5,946.00	$9,472.00	$17,487.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $917.27 / $1,152.89 / $1,673.18	Professional		$917.27	$1,152.89	$1,673.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.68 / $1,117.20 / $1,444.80	Professional		$824.68	$1,117.20	$1,444.80
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $875.74 / $1,006.87 / $1,550.58	Facility		$875.74	$1,006.87	$1,550.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $881.01 / $1,166.29 / $1,577.43	Professional		$881.01	$1,166.29	$1,577.43
United Facility/Professional Facility Modifier Low / Median / High Price $9,251.00 / $11,924.00 / $19,737.00	Facility		$9,251.00	$11,924.00	$19,737.00
United Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $1,237.50 / $1,929.09	Professional		$891.00	$1,237.50	$1,929.09