Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $71.83 / $207.44	Facility		$33.46	$71.83	$207.44
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $61.75 / $90.67 / $202.62	Facility	25	$61.75	$90.67	$202.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $142.94 / $142.94 / $142.94	Facility	50	$142.94	$142.94	$142.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $43.72 / $92.63	Professional		$25.20	$43.72	$92.63
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $32.96 / $60.37 / $141.41	Professional	25	$32.96	$60.37	$141.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $173.00 / $173.00	Facility		$38.69	$173.00	$173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $59.90 / $96.78	Professional		$38.01	$59.90	$96.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $152.00 / $190.00	Facility		$46.99	$152.00	$190.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $29.37 / $29.37 / $29.37	Facility	62	$29.37	$29.37	$29.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.70 / $4.70 / $4.70	Facility	AS	$4.70	$4.70	$4.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $50.69 / $86.91	Professional		$30.75	$50.69	$86.91
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $50.16 / $81.86	Facility		$31.29	$50.16	$81.86
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $34.38 / $34.38	Professional		$34.38	$34.38	$34.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $70.65 / $104.56	Professional		$44.69	$70.65	$104.56
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $1.10 / $1.10 / $1.81	Professional	80	$1.10	$1.10	$1.81
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $0.94 / $0.94 / $1.54	Professional	AS	$0.94	$0.94	$1.54
United Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $61.43 / $95.79	Professional		$45.14	$61.43	$95.79