Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $3,189.00 / $10,651.00	Facility		$1,614.00	$3,189.00	$10,651.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $714.17 / $714.17 / $714.17	Facility	52	$714.17	$714.17	$714.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,171.00 / $11,898.00 / $22,154.73	Facility		$7,171.00	$11,898.00	$22,154.73
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,428.33 / $1,902.50 / $2,399.59	Facility		$1,428.33	$1,902.50	$2,399.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,785.41 / $2,199.63 / $2,828.09	Professional		$1,785.41	$2,199.63	$2,828.09
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,399.59 / $2,399.59 / $2,399.59	Professional	22	$2,399.59	$2,399.59	$2,399.59
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	80	$45.71	$45.71	$45.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.85 / $38.85 / $38.85	Professional	AS	$38.85	$38.85	$38.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,852.00 / $6,090.00 / $14,057.00	Facility		$2,852.00	$6,090.00	$14,057.00