Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,434.00 / $6,917.29 / $18,029.00	Facility		$2,434.00	$6,917.29	$18,029.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,505.52 / $2,707.10	Professional		$1,291.35	$1,505.52	$2,707.10
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $39.88 / $569.35 / $1,154.28	Professional	AS	$39.88	$569.35	$1,154.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,713.00 / $22,512.00 / $49,288.00	Facility		$13,713.00	$22,512.00	$49,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,582.81 / $2,023.73 / $3,269.91	Professional		$1,582.81	$2,023.73	$3,269.91
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $182.79 / $201.25 / $263.27	Professional	AS	$182.79	$201.25	$263.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,797.11 / $20,797.11 / $50,000.00	Facility		$20,797.11	$20,797.11	$50,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.74 / $1,998.51 / $2,895.48	Professional		$1,587.74	$1,998.51	$2,895.48
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,440.14 / $1,944.19 / $2,592.25	Facility		$1,440.14	$1,944.19	$2,592.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,568.47 / $2,081.78 / $3,208.23	Professional		$1,568.47	$2,081.78	$3,208.23
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,395.48 / $2,395.48 / $2,395.48	Professional	22	$2,395.48	$2,395.48	$2,395.48
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $45.63 / $45.63 / $45.63	Professional	80	$45.63	$45.63	$45.63
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.78 / $38.78 / $38.78	Professional	AS	$38.78	$38.78	$38.78
United Facility/Professional Facility Modifier Low / Median / High Price $12,858.00 / $23,244.00 / $33,017.00	Facility		$12,858.00	$23,244.00	$33,017.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,610.90 / $2,151.36 / $3,272.03	Professional		$1,610.90	$2,151.36	$3,272.03