Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $129.65 / $360.98	Facility		$87.57	$129.65	$360.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $70.73 / $96.34	Professional		$55.29	$70.73	$96.34
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $104.04	Professional		$70.00	$70.00	$104.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $65.00 / $80.00	Facility		$53.50	$65.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $80.01 / $110.98	Professional		$52.43	$80.01	$110.98
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $75.87 / $95.27 / $152.54	Facility		$75.87	$95.27	$152.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $131.88 / $186.24	Professional		$92.62	$131.88	$186.24
United Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $87.70 / $109.44	Professional		$77.61	$87.70	$109.44