Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.00 / $3,889.00 / $9,872.00	Facility		$915.00	$3,889.00	$9,872.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,267.17 / $2,267.17 / $2,267.17	Facility	50	$2,267.17	$2,267.17	$2,267.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $179.19 / $356.86	Professional		$125.80	$179.19	$356.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.52 / $194.52 / $705.18	Professional	50	$194.52	$194.52	$705.18
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 $151.76 / $197.85 / $287.14	Professional		$151.76	$197.85	$287.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $235.92 / $256.44 / $302.91	Professional	50	$235.92	$256.44	$302.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $211.92 / $347.29	Professional		$142.69	$211.92	$347.29
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $159.68 / $237.61 / $350.67	Facility		$159.68	$237.61	$350.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.29 / $243.87 / $362.90	Professional		$171.29	$243.87	$362.90
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $1,464.00 / $3,011.00	Facility		$658.00	$1,464.00	$3,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.98 / $271.68 / $473.10	Professional		$196.98	$271.68	$473.10