Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.30 / $3,027.00 / $10,651.00	Facility		$1,393.30	$3,027.00	$10,651.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,129.52 / $4,129.52 / $4,129.52	Facility	22	$4,129.52	$4,129.52	$4,129.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,171.00 / $11,898.00 / $21,226.00	Facility		$7,171.00	$11,898.00	$21,226.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,047.98 / $3,559.00	Facility		$800.00	$1,047.98	$3,559.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.97 / $102.97 / $102.97	Facility	AS	$102.97	$102.97	$102.97
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $924.47 / $1,187.31 / $1,570.70	Facility		$924.47	$1,187.31	$1,570.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.05 / $1,346.31 / $1,884.83	Professional		$1,077.05	$1,346.31	$1,884.83
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,507.87 / $1,507.87 / $1,507.87	Professional	22	$1,507.87	$1,507.87	$1,507.87
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $28.72 / $28.72 / $28.72	Professional	80	$28.72	$28.72	$28.72
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.41 / $24.41 / $24.41	Professional	AS	$24.41	$24.41	$24.41
United Facility/Professional Facility Modifier Low / Median / High Price $8,418.00 / $13,938.00 / $20,534.00	Facility		$8,418.00	$13,938.00	$20,534.00