Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.20 / $5,988.43 / $10,651.00	Facility		$969.20	$5,988.43	$10,651.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $751.57 / $3,422.50 / $11,978.75	Facility	50	$751.57	$3,422.50	$11,978.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,948.00 / $14,105.00 / $28,800.00	Facility		$9,948.00	$14,105.00	$28,800.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $969.20 / $1,246.63 / $1,628.26	Facility		$969.20	$1,246.63	$1,628.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,176.21 / $1,449.09 / $1,863.12	Professional		$1,176.21	$1,449.09	$1,863.12
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,580.83 / $1,580.83 / $1,580.83	Professional	22	$1,580.83	$1,580.83	$1,580.83
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $30.11 / $30.11 / $30.11	Professional	80	$30.11	$30.11	$30.11
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.59 / $25.59 / $25.59	Professional	AS	$25.59	$25.59	$25.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,804.00 / $8,586.00 / $15,893.00	Facility		$3,804.00	$8,586.00	$15,893.00