Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.78 / $3,133.00 / $9,872.00	Facility		$1,061.78	$3,133.00	$9,872.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $621.83 / $621.83 / $621.83	Facility	52	$621.83	$621.83	$621.83
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 / $1,411.74 / $2,530.00	Facility		$800.00	$1,411.74	$2,530.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,243.65 / $1,585.65 / $2,113.00	Facility		$1,243.65	$1,585.65	$2,113.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,448.92 / $1,811.15 / $2,535.60	Professional		$1,448.92	$1,811.15	$2,535.60
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,028.48 / $2,028.48 / $2,028.48	Professional	22	$2,028.48	$2,028.48	$2,028.48
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $38.64 / $38.64 / $38.64	Professional	80	$38.64	$38.64	$38.64
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.84 / $32.84 / $32.84	Professional	AS	$32.84	$32.84	$32.84
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