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 $926.19 / $926.19 / $926.19	Facility	52	$926.19	$926.19	$926.19
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 / $2,094.52 / $2,530.00	Facility		$800.00	$2,094.52	$2,530.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,648.76 / $1,648.76 / $1,648.76	Facility	52	$1,648.76	$1,648.76	$1,648.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $206.10 / $206.10	Facility	AS	$206.10	$206.10	$206.10
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,816.26 / $2,361.77 / $3,147.24	Facility		$1,816.26	$2,361.77	$3,147.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,158.10 / $2,697.63 / $3,776.68	Professional		$2,158.10	$2,697.63	$3,776.68
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $57.55 / $57.55 / $57.55	Professional	80	$57.55	$57.55	$57.55
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $48.92 / $48.92 / $48.92	Professional	AS	$48.92	$48.92	$48.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,168.00 / $6,752.00 / $12,740.00	Facility		$2,168.00	$6,752.00	$12,740.00