Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $106.80 / $111.61	Facility		$57.51	$106.80	$111.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $64.61	Professional		$57.51	$57.51	$64.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $103.52 / $184.03	Facility		$73.61	$103.52	$184.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $75.95	Facility		$54.25	$54.25	$75.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $57.51 / $91.44	Facility		$5.50	$57.51	$91.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $63.26 / $83.39	Professional		$62.68	$63.26	$83.39
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51