Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.01 / $3,133.00 / $9,872.00	Facility		$142.01	$3,133.00	$9,872.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $120.93 / $120.93 / $120.93	Facility	52	$120.93	$120.93	$120.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,171.00 / $11,898.00 / $21,226.00	Facility		$7,171.00	$11,898.00	$21,226.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $241.85 / $282.95 / $406.31	Facility		$241.85	$282.95	$406.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.93 / $310.37 / $399.05	Professional		$251.93	$310.37	$399.05
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $6.45 / $6.45 / $6.45	Professional	80	$6.45	$6.45	$6.45
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Professional	AS	$5.48	$5.48	$5.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,506.00 / $8,565.00 / $14,156.00	Facility		$2,506.00	$8,565.00	$14,156.00