Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,506.00 / $3,133.00 / $9,611.00	Facility		$2,506.00	$3,133.00	$9,611.00
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 / $1,971.38 / $2,530.00	Facility		$800.00	$1,971.38	$2,530.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,721.07 / $2,255.77 / $3,062.07	Facility		$1,721.07	$2,255.77	$3,062.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,005.13 / $2,506.41 / $3,508.97	Professional		$2,005.13	$2,506.41	$3,508.97
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,807.18 / $2,807.18 / $2,807.18	Professional	22	$2,807.18	$2,807.18	$2,807.18
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $53.47 / $53.47 / $53.47	Professional	80	$53.47	$53.47	$53.47
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $45.45 / $45.45 / $45.45	Professional	AS	$45.45	$45.45	$45.45
United Facility/Professional Facility Modifier Low / Median / High Price $8,418.00 / $13,938.00 / $20,534.00	Facility		$8,418.00	$13,938.00	$20,534.00