Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,506.00 / $3,149.00 / $10,651.00	Facility		$2,506.00	$3,149.00	$10,651.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $671.55 / $671.55 / $671.55	Facility	52	$671.55	$671.55	$671.55
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 / $1,526.26 / $2,530.00	Facility		$800.00	$1,526.26	$2,530.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,343.09 / $1,712.44 / $2,281.94	Facility		$1,343.09	$1,712.44	$2,281.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,564.76 / $1,955.96 / $2,738.34	Professional		$1,564.76	$1,955.96	$2,738.34
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,190.67 / $2,190.67 / $2,190.67	Professional	22	$2,190.67	$2,190.67	$2,190.67
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $41.73 / $41.73 / $41.73	Professional	80	$41.73	$41.73	$41.73
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $35.47 / $35.47 / $35.47	Professional	AS	$35.47	$35.47	$35.47
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