Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.46 / $3,133.00 / $8,734.00	Facility		$146.46	$3,133.00	$8,734.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $821.86 / $4,784.70 / $7,720.50	Facility	50	$821.86	$4,784.70	$7,720.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $117.00 / $338.00	Professional		$69.09	$117.00	$338.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.87 / $177.95 / $681.05	Professional	50	$138.87	$177.95	$681.05
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 $97.98 / $125.82 / $178.56	Professional		$97.98	$125.82	$178.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $129.44 / $146.97 / $159.75	Professional	50	$129.44	$146.97	$159.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $154.76 / $298.93	Professional		$90.22	$154.76	$298.93
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $108.42 / $156.53 / $274.41	Facility		$108.42	$156.53	$274.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $142.75 / $189.98	Professional		$94.87	$142.75	$189.98
United Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $1,464.00 / $3,011.00	Facility		$730.00	$1,464.00	$3,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.71 / $175.47 / $266.86	Professional		$112.71	$175.47	$266.86