Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.00 / $6,933.42 / $13,068.00	Facility		$2,394.00	$6,933.42	$13,068.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $862.88 / $862.88 / $862.88	Facility	52	$862.88	$862.88	$862.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,990.00 / $21,643.00 / $48,858.96	Facility		$10,990.00	$21,643.00	$48,858.96
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,725.76 / $2,200.34 / $3,106.37	Facility		$1,725.76	$2,200.34	$3,106.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,879.55 / $2,477.59 / $3,417.36	Professional		$1,879.55	$2,477.59	$3,417.36
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $54.68 / $54.68 / $54.68	Professional	80	$54.68	$54.68	$54.68
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $46.48 / $46.48 / $46.48	Professional	AS	$46.48	$46.48	$46.48
United Facility/Professional Facility Modifier Low / Median / High Price $11,146.00 / $13,967.00 / $20,534.00	Facility		$11,146.00	$13,967.00	$20,534.00