Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,391.00 / $3,133.00 / $10,555.00	Facility		$2,391.00	$3,133.00	$10,555.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,586.00 / $7,613.00 / $13,400.83	Facility		$4,586.00	$7,613.00	$13,400.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,066.83 / $2,530.00	Facility		$800.00	$1,066.83	$2,530.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $940.41 / $1,199.02 / $1,597.79	Facility		$940.41	$1,199.02	$1,597.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,095.61 / $1,369.53 / $1,917.34	Professional		$1,095.61	$1,369.53	$1,917.34
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,533.87 / $1,533.87 / $1,533.87	Professional	22	$1,533.87	$1,533.87	$1,533.87
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $29.22 / $29.22 / $29.22	Professional	80	$29.22	$29.22	$29.22
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.83 / $24.83 / $24.83	Professional	AS	$24.83	$24.83	$24.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,115.00 / $5,540.00 / $12,740.00	Facility		$1,115.00	$5,540.00	$12,740.00