Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.85 / $84.85 / $84.85	Facility		$84.85	$84.85	$84.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $84.85 / $114.95	Professional		$57.04	$84.85	$114.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.51 / $170.24 / $309.08	Facility		$151.51	$170.24	$309.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $95.48	Professional		$92.70	$92.70	$95.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $167.83	Professional		$96.83	$96.83	$167.83
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $84.85 / $189.39	Facility		$48.80	$84.85	$189.39
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.60 / $189.39 / $299.99	Professional		$110.60	$189.39	$299.99
United Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $75.59 / $113.86	Professional		$68.63	$75.59	$113.86