Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.39 / $3,189.00 / $15,785.00	Facility		$1,383.39	$3,189.00	$15,785.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,667.50 / $4,667.50 / $4,667.50	Facility	50	$4,667.50	$4,667.50	$4,667.50
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 $1,191.95 / $1,519.74 / $2,002.48	Facility		$1,191.95	$1,519.74	$2,002.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,446.54 / $1,782.13 / $2,291.32	Professional		$1,446.54	$1,782.13	$2,291.32
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,944.15 / $1,944.15 / $1,944.15	Professional	22	$1,944.15	$1,944.15	$1,944.15
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $37.03 / $37.03 / $37.03	Professional	80	$37.03	$37.03	$37.03
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.48 / $31.48 / $31.48	Professional	AS	$31.48	$31.48	$31.48
United Facility/Professional Facility Modifier Low / Median / High Price $9,251.00 / $11,924.00 / $19,737.00	Facility		$9,251.00	$11,924.00	$19,737.00