Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,133.00 / $5,503.00 / $10,651.00	Facility		$3,133.00	$5,503.00	$10,651.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,999.00 / $26,120.00 / $67,429.00	Facility		$15,999.00	$26,120.00	$67,429.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $4,876.64 / $6,199.12 / $9,103.06	Facility		$4,876.64	$6,199.12	$9,103.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,959.30 / $7,071.59 / $9,092.04	Professional		$4,959.30	$7,071.59	$9,092.04
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $146.94 / $146.94 / $146.94	Professional	80	$146.94	$146.94	$146.94
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $124.90 / $124.90 / $124.90	Professional	AS	$124.90	$124.90	$124.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,292.00 / $8,535.00 / $12,740.00	Facility		$1,292.00	$8,535.00	$12,740.00