Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.14 / $3,189.00 / $9,872.00	Facility		$1,646.14	$3,189.00	$9,872.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $823.07 / $823.07 / $823.07	Facility	52	$823.07	$823.07	$823.07
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 / $1,874.42 / $2,530.00	Facility		$800.00	$1,874.42	$2,530.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,471.60 / $1,471.60 / $1,471.60	Facility	52	$1,471.60	$1,471.60	$1,471.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $183.95 / $183.95	Facility	AS	$183.95	$183.95	$183.95
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,642.75 / $2,098.83 / $2,796.83	Facility		$1,642.75	$2,098.83	$2,796.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,917.83 / $2,397.29 / $3,356.20	Professional		$1,917.83	$2,397.29	$3,356.20
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $51.14 / $51.14 / $51.14	Professional	80	$51.14	$51.14	$51.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $43.47 / $43.47 / $43.47	Professional	AS	$43.47	$43.47	$43.47
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