Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,869.00 / $7,617.00 / $13,516.00	Facility		$2,869.00	$7,617.00	$13,516.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $728.90 / $728.90 / $728.90	Facility	52	$728.90	$728.90	$728.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,713.00 / $20,581.00 / $42,190.00	Facility		$13,713.00	$20,581.00	$42,190.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,457.80 / $1,945.89 / $2,594.88	Facility		$1,457.80	$1,945.89	$2,594.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,587.71 / $2,107.32 / $3,247.58	Professional		$1,587.71	$2,107.32	$3,247.58
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $46.19 / $46.19 / $46.19	Professional	80	$46.19	$46.19	$46.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.26 / $39.26 / $39.26	Professional	AS	$39.26	$39.26	$39.26
United Facility/Professional Facility Modifier Low / Median / High Price $12,858.00 / $21,238.00 / $30,333.00	Facility		$12,858.00	$21,238.00	$30,333.00