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 $879.20 / $879.20 / $879.20	Facility	52	$879.20	$879.20	$879.20
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 / $2,001.71 / $2,530.00	Facility		$800.00	$2,001.71	$2,530.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,570.62 / $1,570.62 / $1,570.62	Facility	52	$1,570.62	$1,570.62	$1,570.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,707.19 / $2,241.96 / $2,987.58	Facility		$1,707.19	$2,241.96	$2,987.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,048.63 / $2,560.79 / $3,585.10	Professional		$2,048.63	$2,560.79	$3,585.10
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $54.63 / $54.63 / $54.63	Professional	80	$54.63	$54.63	$54.63
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $46.44 / $46.44 / $46.44	Professional	AS	$46.44	$46.44	$46.44
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