Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $132.68 / $147.55	Facility		$53.84	$132.68	$147.55
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $122.56 / $122.56 / $201.49	Facility	25	$122.56	$122.56	$201.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $122.56 / $209.17	Professional		$70.31	$122.56	$209.17
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.18 / $138.02 / $358.90	Professional	25	$78.18	$138.02	$358.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $150.16 / $150.16	Facility		$150.16	$150.16	$150.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $177.30 / $256.39	Professional		$122.30	$177.30	$256.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $133.00	Professional		$116.36	$116.36	$133.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $119.41 / $161.79 / $243.46	Facility		$119.41	$161.79	$243.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.32 / $191.56 / $298.52	Professional		$155.32	$191.56	$298.52
United Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $164.32 / $260.26	Professional		$118.44	$164.32	$260.26