Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.00 / $3,889.00 / $9,872.00	Facility		$915.00	$3,889.00	$9,872.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $154.69 / $227.17	Facility		$135.22	$154.69	$227.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $176.47 / $226.89	Professional		$123.76	$176.47	$226.89
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $3.67 / $3.67 / $3.67	Professional	80	$3.67	$3.67	$3.67
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $3.12 / $3.12 / $3.12	Professional	AS	$3.12	$3.12	$3.12
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $1,464.00 / $3,011.00	Facility		$658.00	$1,464.00	$3,011.00