Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,414.00 / $3,133.00 / $8,734.00	Facility		$1,414.00	$3,133.00	$8,734.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,313.40 / $7,313.40 / $7,313.40	Facility	50	$7,313.40	$7,313.40	$7,313.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $1,659.20 / $2,696.27	Professional		$158.83	$1,659.20	$2,696.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,552.85 / $1,552.85 / $1,552.85	Professional	50	$1,552.85	$1,552.85	$1,552.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,948.00 / $14,105.00 / $28,800.00	Facility		$9,948.00	$14,105.00	$28,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.55 / $1,337.17 / $3,257.76	Professional		$191.55	$1,337.17	$3,257.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $193.84 / $2,005.76 / $3,214.06	Professional	50	$193.84	$2,005.76	$3,214.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $443.53 / $3,419.12	Professional		$220.84	$443.53	$3,419.12
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $185.60 / $1,595.78 / $3,137.35	Facility		$185.60	$1,595.78	$3,137.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.62 / $583.46 / $2,839.19	Professional		$202.62	$583.46	$2,839.19
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $4.95 / $4.95 / $51.06	Professional	80	$4.95	$4.95	$51.06
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $4.21 / $4.21 / $43.41	Professional	AS	$4.21	$4.21	$43.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,804.00 / $8,586.00 / $15,893.00	Facility		$3,804.00	$8,586.00	$15,893.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,355.77 / $3,284.81 / $5,403.54	Professional		$2,355.77	$3,284.81	$5,403.54