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 $903.46 / $903.46 / $903.46	Facility	52	$903.46	$903.46	$903.46
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 / $2,054.82 / $2,530.00	Facility		$800.00	$2,054.82	$2,530.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,615.65 / $1,615.65 / $1,615.65	Facility	52	$1,615.65	$1,615.65	$1,615.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $201.96 / $201.96	Facility	AS	$201.96	$201.96	$201.96
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,740.23 / $2,295.00 / $3,070.01	Facility		$1,740.23	$2,295.00	$3,070.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,105.15 / $2,631.44 / $3,684.01	Professional		$2,105.15	$2,631.44	$3,684.01
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,947.21 / $2,947.21 / $2,947.21	Professional	22	$2,947.21	$2,947.21	$2,947.21
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $56.14 / $56.14 / $56.14	Professional	80	$56.14	$56.14	$56.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $47.72 / $47.72 / $47.72	Professional	AS	$47.72	$47.72	$47.72
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