Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.10 / $4,498.78 / $9,872.00	Facility		$1,222.10	$4,498.78	$9,872.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $611.05 / $611.05 / $611.05	Facility	52	$611.05	$611.05	$611.05
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $244.42 / $244.42 / $244.42	Facility	53	$244.42	$244.42	$244.42
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 / $1,391.39 / $2,530.00	Facility		$800.00	$1,391.39	$2,530.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,196.56 / $1,558.19 / $2,076.39	Facility		$1,196.56	$1,558.19	$2,076.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,423.81 / $1,779.77 / $2,491.67	Professional		$1,423.81	$1,779.77	$2,491.67
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $37.97 / $37.97 / $37.97	Professional	80	$37.97	$37.97	$37.97
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.27 / $32.27 / $32.27	Professional	AS	$32.27	$32.27	$32.27
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