Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.65 / $2,654.00 / $6,097.00	Facility		$384.65	$2,654.00	$6,097.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.52 / $102.05 / $192.33	Facility	52	$89.52	$102.05	$192.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.48 / $102.24 / $192.33	Facility	53	$67.48	$102.24	$192.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.30 / $317.51 / $614.14	Professional		$178.30	$317.51	$614.14
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.14 / $81.70 / $192.33	Professional	53	$38.14	$81.70	$192.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.00 / $2,866.00 / $7,022.00	Facility		$1,974.00	$2,866.00	$7,022.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.99 / $383.51 / $644.62	Professional		$220.99	$383.51	$644.62
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $120.43 / $222.90 / $428.75	Professional	53	$120.43	$222.90	$428.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.68 / $800.00 / $2,213.00	Facility		$243.68	$800.00	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.94 / $194.94 / $194.94	Facility	52	$194.94	$194.94	$194.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.74 / $48.74 / $48.74	Facility	53	$48.74	$48.74	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $75.09 / $144.07 / $268.16	Professional	53	$75.09	$144.07	$268.16
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $204.10 / $346.19 / $576.16	Facility		$204.10	$346.19	$576.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.74 / $388.03 / $626.61	Professional		$232.74	$388.03	$626.61
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $116.60 / $194.02 / $308.74	Professional	53	$116.60	$194.02	$308.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.00 / $2,537.00 / $3,681.00	Facility		$1,261.00	$2,537.00	$3,681.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.17 / $527.50 / $934.08	Professional		$363.17	$527.50	$934.08
United Facility/Professional Professional Modifier 53 Low / Median / High Price $204.84 / $204.84 / $204.84	Professional	53	$204.84	$204.84	$204.84