Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.00 / $3,189.00 / $10,651.00	Facility		$1,937.00	$3,189.00	$10,651.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,246.85 / $14,246.85 / $14,246.85	Facility	50	$14,246.85	$14,246.85	$14,246.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $3,122.76 / $5,068.35	Professional		$249.71	$3,122.76	$5,068.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,615.42 / $5,896.19 / $5,896.19	Professional	50	$5,615.42	$5,896.19	$5,896.19
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 $310.31 / $2,513.98 / $6,135.84	Professional		$310.31	$2,513.98	$6,135.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $314.18 / $3,770.98 / $6,042.65	Professional	50	$314.18	$3,770.98	$6,042.65
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $29.32 / $351.95 / $563.98	Professional	AS	$29.32	$351.95	$563.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.50 / $3,174.38 / $6,361.67	Professional		$318.50	$3,174.38	$6,361.67
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $298.80 / $618.42 / $5,423.79	Facility		$298.80	$618.42	$5,423.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.19 / $943.68 / $5,340.87	Professional		$326.19	$943.68	$5,340.87
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $6.77 / $6.77 / $81.53	Professional	AS	$6.77	$6.77	$81.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,527.00 / $8,586.00 / $15,893.00	Facility		$3,527.00	$8,586.00	$15,893.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,393.62 / $6,448.94 / $10,614.04	Professional		$4,393.62	$6,448.94	$10,614.04