Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,008.00 / $3,149.00 / $10,651.00	Facility		$3,008.00	$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 / $2,151.00 / $3,543.61	Facility		$800.00	$2,151.00	$3,543.61
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,171.67 / $2,171.67 / $2,171.67	Facility	62	$2,171.67	$2,171.67	$2,171.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $347.47 / $347.47	Facility	AS	$347.47	$347.47	$347.47
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $3,105.13 / $3,959.04 / $5,275.71	Facility		$3,105.13	$3,959.04	$5,275.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,617.63 / $4,522.04 / $6,330.85	Professional		$3,617.63	$4,522.04	$6,330.85
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $5,064.68 / $5,064.68 / $5,064.68	Professional	22	$5,064.68	$5,064.68	$5,064.68
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $96.47 / $96.47 / $96.47	Professional	80	$96.47	$96.47	$96.47
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $82.00 / $82.00 / $82.00	Professional	AS	$82.00	$82.00	$82.00
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