Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.15 / $121.54 / $327.00	Facility		$51.15	$121.54	$327.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $174.72 / $278.95 / $412.23	Facility	25	$174.72	$278.95	$412.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $111.65 / $261.54	Professional		$67.65	$111.65	$261.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.48 / $135.26 / $343.33	Professional	25	$60.48	$135.26	$343.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.50 / $94.50 / $94.50	Professional	50	$94.50	$94.50	$94.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.88 / $299.00 / $299.00	Facility		$106.88	$299.00	$299.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.22 / $151.27 / $234.49	Professional		$101.22	$151.27	$234.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $152.00 / $190.00	Facility		$129.72	$152.00	$190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $131.44 / $203.56	Professional		$88.18	$131.44	$203.56
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $125.96 / $189.96	Facility		$86.35	$125.96	$189.96
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $94.89 / $94.89 / $94.89	Professional		$94.89	$94.89	$94.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $166.30 / $253.28	Professional		$123.36	$166.30	$253.28
United Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $154.60 / $238.50	Professional		$107.52	$154.60	$238.50