Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $200.00 / $400.00	Facility		$84.53	$200.00	$400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $84.53 / $113.67	Professional		$50.06	$84.53	$113.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.94 / $169.60 / $307.92	Facility		$150.94	$169.60	$307.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $94.06 / $101.58	Professional		$94.06	$94.06	$101.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $126.78	Facility		$117.36	$117.36	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $166.71	Professional		$85.67	$85.67	$166.71
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $84.53 / $188.68	Facility		$48.61	$84.53	$188.68
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $48.61 / $48.61	Professional		$48.61	$48.61	$48.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $188.68 / $298.86	Professional		$110.19	$188.68	$298.86
United Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $75.31 / $113.43	Professional		$68.37	$75.31	$113.43