Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $3,133.00 / $9,872.00	Facility		$1,697.00	$3,133.00	$9,872.00
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 / $1,879.13 / $2,530.00	Facility		$800.00	$1,879.13	$2,530.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $184.06 / $184.06 / $184.06	Facility	AS	$184.06	$184.06	$184.06
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,649.48 / $2,132.42 / $2,804.12	Facility		$1,649.48	$2,132.42	$2,804.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,921.73 / $2,402.16 / $3,363.02	Professional		$1,921.73	$2,402.16	$3,363.02
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,690.42 / $2,690.42 / $2,690.42	Professional	22	$2,690.42	$2,690.42	$2,690.42
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $51.25 / $51.25 / $51.25	Professional	80	$51.25	$51.25	$51.25
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $43.56 / $43.56 / $43.56	Professional	AS	$43.56	$43.56	$43.56
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