Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.00 / $11,529.00 / $40,390.00	Facility		$1,632.00	$11,529.00	$40,390.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $197.93 / $197.93 / $197.93	Facility	53	$197.93	$197.93	$197.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.62 / $1,063.29 / $1,862.69	Professional		$966.62	$1,063.29	$1,862.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,178.00 / $26,120.00 / $55,276.00	Facility		$16,178.00	$26,120.00	$55,276.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.99 / $1,276.23 / $1,848.58	Professional		$1,036.99	$1,276.23	$1,848.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,404.00 / $18,404.00 / $36,508.69	Facility		$18,404.00	$18,404.00	$36,508.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.32 / $1,635.25 / $2,218.02	Professional		$1,271.32	$1,635.25	$2,218.02
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $989.64 / $1,187.57 / $1,662.60	Facility		$989.64	$1,187.57	$1,662.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.90 / $1,373.02 / $3,380.04	Professional		$962.90	$1,373.02	$3,380.04
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $28.53 / $28.53 / $28.53	Professional	80	$28.53	$28.53	$28.53
United Facility/Professional Facility Modifier Low / Median / High Price $14,650.00 / $39,829.00 / $65,328.00	Facility		$14,650.00	$39,829.00	$65,328.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.24 / $1,775.40 / $2,943.10	Professional		$1,177.24	$1,775.40	$2,943.10