Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.34 / $3,133.00 / $10,651.00	Facility		$546.34	$3,133.00	$10,651.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $765.83 / $765.83 / $765.83	Facility	52	$765.83	$765.83	$765.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,171.00 / $11,898.00 / $22,154.73	Facility		$7,171.00	$11,898.00	$22,154.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,742.51 / $2,530.00	Facility		$800.00	$1,742.51	$2,530.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,531.65 / $1,976.19 / $2,602.32	Facility		$1,531.65	$1,976.19	$2,602.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,784.45 / $2,230.56 / $3,122.78	Professional		$1,784.45	$2,230.56	$3,122.78
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $47.59 / $47.59 / $47.59	Professional	80	$47.59	$47.59	$47.59
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $40.45 / $40.45 / $40.45	Professional	AS	$40.45	$40.45	$40.45
United Facility/Professional Facility Modifier Low / Median / High Price $5,664.00 / $11,924.00 / $19,712.00	Facility		$5,664.00	$11,924.00	$19,712.00