Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,551.00 / $5,503.00 / $10,651.00	Facility		$2,551.00	$5,503.00	$10,651.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,946.00 / $9,278.00 / $17,183.00	Facility		$5,946.00	$9,278.00	$17,183.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,422.78 / $1,724.71 / $2,390.27	Facility		$1,422.78	$1,724.71	$2,390.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,302.21 / $1,856.86 / $2,387.39	Professional		$1,302.21	$1,856.86	$2,387.39
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $38.58 / $38.58 / $38.58	Professional	80	$38.58	$38.58	$38.58
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.79 / $32.79 / $32.79	Professional	AS	$32.79	$32.79	$32.79
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