Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,133.00 / $13,516.00 / $33,683.00	Facility		$3,133.00	$13,516.00	$33,683.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $34,305.18 / $34,305.18 / $34,305.18	Facility	50	$34,305.18	$34,305.18	$34,305.18
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $960.73 / $960.73 / $960.73	Facility	54	$960.73	$960.73	$960.73
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $197.10 / $197.10 / $197.10	Facility	AS	$197.10	$197.10	$197.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.34 / $1,449.74 / $5,218.72	Professional		$1,243.34	$1,449.74	$5,218.72
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $153.15 / $517.79 / $962.75	Professional	AS	$153.15	$517.79	$962.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,713.00 / $22,512.00 / $54,744.00	Facility		$13,713.00	$22,512.00	$54,744.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,420.15 / $1,806.07 / $2,904.15	Professional		$1,420.15	$1,806.07	$2,904.15
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $166.15 / $198.82 / $252.85	Professional	AS	$166.15	$198.82	$252.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,533.95 / $13,533.95 / $42,632.70	Facility		$13,533.95	$13,533.95	$42,632.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,446.48 / $1,863.15 / $2,702.91	Professional		$1,446.48	$1,863.15	$2,702.91
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,280.97 / $1,823.56 / $2,305.75	Facility		$1,280.97	$1,823.56	$2,305.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,395.12 / $1,851.70 / $2,853.65	Professional		$1,395.12	$1,851.70	$2,853.65
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $40.59 / $40.59 / $40.59	Professional	80	$40.59	$40.59	$40.59
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.50 / $34.50 / $34.50	Professional	AS	$34.50	$34.50	$34.50
United Facility/Professional Facility Modifier Low / Median / High Price $15,284.00 / $30,296.00 / $38,293.00	Facility		$15,284.00	$30,296.00	$38,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.75 / $1,999.71 / $3,771.16	Professional		$1,479.75	$1,999.71	$3,771.16