Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $92.58 / $121.60	Facility		$75.70	$92.58	$121.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $93.50 / $160.46	Professional		$69.77	$93.50	$160.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.65 / $117.65 / $117.65	Professional	25	$117.65	$117.65	$117.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $164.00 / $286.00	Facility		$154.00	$164.00	$286.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $90.00 / $121.83	Professional		$66.00	$90.00	$121.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $92.00 / $140.01	Professional		$66.00	$92.00	$140.01
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $105.74 / $156.01	Facility		$89.88	$105.74	$156.01
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $91.78 / $114.73	Professional		$91.78	$91.78	$114.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $135.35 / $206.00	Professional		$96.37	$135.35	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $103.28 / $168.30	Professional		$74.98	$103.28	$168.30