Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.29 / $3,133.00 / $9,872.00	Facility		$440.29	$3,133.00	$9,872.00
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 / $1,784.51 / $2,530.00	Facility		$800.00	$1,784.51	$2,530.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $175.15 / $175.15 / $175.15	Facility	AS	$175.15	$175.15	$175.15
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,559.78 / $1,999.39 / $2,664.34	Facility		$1,559.78	$1,999.39	$2,664.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,826.98 / $2,283.71 / $3,197.21	Professional		$1,826.98	$2,283.71	$3,197.21
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,557.77 / $2,557.77 / $2,557.77	Professional	22	$2,557.77	$2,557.77	$2,557.77
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $48.72 / $48.72 / $48.72	Professional	80	$48.72	$48.72	$48.72
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $41.41 / $41.41 / $41.41	Professional	AS	$41.41	$41.41	$41.41
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