Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.67 / $97.05 / $170.01	Facility		$58.67	$97.05	$170.01
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $43.31 / $174.82 / $1,312.58	Facility	25	$43.31	$174.82	$1,312.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $79.06 / $173.84	Professional		$49.33	$79.06	$173.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $44.37 / $94.45 / $219.02	Professional	25	$44.37	$94.45	$219.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.40 / $218.00 / $218.00	Facility		$72.40	$218.00	$218.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $105.08 / $166.15	Professional		$69.00	$105.08	$166.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.08 / $152.00 / $190.00	Facility		$88.08	$152.00	$190.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $55.05 / $55.05 / $55.05	Facility	62	$55.05	$55.05	$55.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.81 / $8.81 / $8.81	Facility	AS	$8.81	$8.81	$8.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $89.37 / $143.54	Professional		$57.24	$89.37	$143.54
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $84.99 / $132.56	Facility		$57.83	$84.99	$132.56
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $64.48 / $64.48	Professional		$64.48	$64.48	$64.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $118.35 / $184.47	Professional		$83.82	$118.35	$184.47
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $2.06 / $2.06 / $2.91	Professional	80	$2.06	$2.06	$2.91
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $1.75 / $1.75 / $2.48	Professional	AS	$1.75	$1.75	$2.48
United Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $101.99 / $164.46	Professional		$74.80	$101.99	$164.46