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
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 / $1,363.66 / $2,530.00	Facility		$800.00	$1,363.66	$2,530.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $134.03 / $134.03 / $134.03	Facility	AS	$134.03	$134.03	$134.03
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,169.47 / $1,535.81 / $2,046.57	Facility		$1,169.47	$1,535.81	$2,046.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,403.36 / $1,754.21 / $2,455.89	Professional		$1,403.36	$1,754.21	$2,455.89
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,964.71 / $1,964.71 / $1,964.71	Professional	22	$1,964.71	$1,964.71	$1,964.71
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $37.42 / $37.42 / $37.42	Professional	80	$37.42	$37.42	$37.42
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.81 / $31.81 / $31.81	Professional	AS	$31.81	$31.81	$31.81
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