Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,551.00 / $5,428.00 / $10,651.00	Facility		$2,551.00	$5,428.00	$10,651.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,990.00 / $19,587.00 / $44,198.00	Facility		$10,990.00	$19,587.00	$44,198.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $3,495.57 / $4,145.52 / $5,872.56	Facility		$3,495.57	$4,145.52	$5,872.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,199.34 / $4,562.02 / $5,865.45	Professional		$3,199.34	$4,562.02	$5,865.45
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,976.75 / $4,976.75 / $4,976.75	Professional	22	$4,976.75	$4,976.75	$4,976.75
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $94.80 / $94.80 / $94.80	Professional	80	$94.80	$94.80	$94.80
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $80.58 / $80.58 / $80.58	Professional	AS	$80.58	$80.58	$80.58
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