Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,506.00 / $5,041.00 / $13,596.00	Facility		$2,506.00	$5,041.00	$13,596.00
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,749.72 / $8,742.00	Facility		$800.00	$1,749.72	$8,742.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,070.46 / $1,070.46 / $1,070.46	Facility	62	$1,070.46	$1,070.46	$1,070.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.27 / $171.27 / $171.27	Facility	AS	$171.27	$171.27	$171.27
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,527.44 / $2,001.98 / $2,718.84	Facility		$1,527.44	$2,001.98	$2,718.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,779.54 / $2,224.42 / $3,114.20	Professional		$1,779.54	$2,224.42	$3,114.20
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,491.36 / $2,491.36 / $2,491.36	Professional	22	$2,491.36	$2,491.36	$2,491.36
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $47.45 / $47.45 / $47.45	Professional	80	$47.45	$47.45	$47.45
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $40.34 / $40.34 / $40.34	Professional	AS	$40.34	$40.34	$40.34
United Facility/Professional Facility Modifier Low / Median / High Price $6,868.00 / $13,938.00 / $20,534.00	Facility		$6,868.00	$13,938.00	$20,534.00