Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.50 / $5,041.00 / $14,408.26	Facility		$1,287.50	$5,041.00	$14,408.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $334.17 / $334.17 / $334.17	Facility	52	$334.17	$334.17	$334.17
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $133.66 / $133.66 / $133.66	Facility	53	$133.66	$133.66	$133.66
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $3,646.50 / $3,646.50 / $3,646.50	Facility	80	$3,646.50	$3,646.50	$3,646.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.94 / $717.33 / $1,811.32	Professional		$611.94	$717.33	$1,811.32
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
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.87 / $918.09 / $1,337.19	Professional		$706.87	$918.09	$1,337.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.07 / $800.00 / $4,340.00	Facility		$753.07	$800.00	$4,340.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $594.13 / $594.13 / $594.13	Facility	52	$594.13	$594.13	$594.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $148.53 / $148.53 / $148.53	Facility	53	$148.53	$148.53	$148.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.27 / $74.27 / $74.27	Facility	AS	$74.27	$74.27	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.58 / $941.78 / $1,338.92	Professional		$690.58	$941.78	$1,338.92
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $668.33 / $902.13 / $1,171.49	Facility		$668.33	$902.13	$1,171.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $778.64 / $979.79 / $1,427.51	Professional		$778.64	$979.79	$1,427.51
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,090.09 / $1,090.09 / $1,090.09	Professional	22	$1,090.09	$1,090.09	$1,090.09
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $1,090.09 / $1,090.09 / $1,090.09	Professional	53	$1,090.09	$1,090.09	$1,090.09
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $20.76 / $20.76 / $20.76	Professional	80	$20.76	$20.76	$20.76
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.64 / $17.64 / $17.64	Professional	AS	$17.64	$17.64	$17.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,868.00 / $13,938.00 / $20,534.00	Facility		$6,868.00	$13,938.00	$20,534.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.14 / $1,012.56 / $2,008.83	Professional		$723.14	$1,012.56	$2,008.83