Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $3,133.00 / $9,513.75	Facility		$856.00	$3,133.00	$9,513.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,044.98 / $2,700.00 / $5,016.00	Facility	50	$1,044.98	$2,700.00	$5,016.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.91 / $667.92 / $1,306.38	Professional		$554.91	$667.92	$1,306.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,427.00 / $7,739.00 / $15,148.00	Facility		$4,427.00	$7,739.00	$15,148.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.76 / $968.05 / $1,335.26	Professional		$737.76	$968.05	$1,335.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.18 / $989.23 / $1,307.98	Professional		$662.18	$989.23	$1,307.98
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $648.46 / $851.60 / $1,122.10	Facility		$648.46	$851.60	$1,122.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.58 / $998.63 / $1,283.95	Professional		$810.58	$998.63	$1,283.95
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,089.41 / $1,089.41 / $1,089.41	Professional	22	$1,089.41	$1,089.41	$1,089.41
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $20.75 / $20.75 / $20.75	Professional	80	$20.75	$20.75	$20.75
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.64 / $17.64 / $17.64	Professional	AS	$17.64	$17.64	$17.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,852.00 / $6,090.00 / $14,057.00	Facility		$2,852.00	$6,090.00	$14,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.50 / $997.41 / $1,719.68	Professional		$701.50	$997.41	$1,719.68