Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.33 / $300.00 / $5,077.00	Facility		$107.33	$300.00	$5,077.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $16.73 / $42.19	Professional		$11.91	$16.73	$42.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.38 / $36.86 / $90.43	Professional	50	$19.38	$36.86	$90.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.96 / $8.36 / $11.38	Professional	52	$5.96	$8.36	$11.38
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.38 / $3.35 / $4.55	Professional	53	$2.38	$3.35	$4.55
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 $17.97 / $23.58 / $32.53	Professional		$17.97	$23.58	$32.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $19.55 / $20.82 / $31.34	Professional	50	$19.55	$20.82	$31.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $21.56 / $28.49	Professional		$15.41	$21.56	$28.49
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $20.07 / $28.11	Facility		$16.73	$20.07	$28.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $24.55 / $31.56	Professional		$19.93	$24.55	$31.56
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 $15.20 / $21.66 / $36.10	Professional		$15.20	$21.66	$36.10