Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.62 / $6,573.00 / $13,516.00	Facility		$191.62	$6,573.00	$13,516.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $701.35 / $701.35 / $701.35	Facility	52	$701.35	$701.35	$701.35
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 $1,402.70 / $1,851.27 / $2,496.81	Facility		$1,402.70	$1,851.27	$2,496.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,527.70 / $2,027.68 / $3,055.40	Professional		$1,527.70	$2,027.68	$3,055.40
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $44.44 / $44.44 / $44.44	Professional	80	$44.44	$44.44	$44.44
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $37.78 / $37.78 / $37.78	Professional	AS	$37.78	$37.78	$37.78
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