Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $51.37 / $428.80	Facility		$28.69	$51.37	$428.80
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $75.59 / $166.00 / $209.27	Facility	CO	$75.59	$166.00	$209.27
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $91.30 / $91.30 / $190.12	Facility	CQ	$91.30	$91.30	$190.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.91 / $33.46	Professional		$14.40	$24.91	$33.46
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.68 / $27.68 / $44.46	Professional	CQ	$27.68	$27.68	$44.46
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 $24.71 / $70.00 / $76.50	Professional		$24.71	$70.00	$76.50
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 $21.84 / $48.46 / $108.29	Professional		$21.84	$48.46	$108.29
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $37.04 / $49.99	Facility		$26.71	$37.04	$49.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $43.88 / $61.03	Professional		$30.35	$43.88	$61.03
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $35.01 / $37.81	Professional		$29.57	$35.01	$37.81