Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $3,149.00 / $29,043.84	Facility		$1,614.00	$3,149.00	$29,043.84
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $387.55 / $387.55 / $387.55	Facility	52	$387.55	$387.55	$387.55
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 / $875.09 / $2,530.00	Facility		$800.00	$875.09	$2,530.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $775.09 / $988.24 / $1,316.89	Facility		$775.09	$988.24	$1,316.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $903.01 / $1,128.77 / $1,580.27	Professional		$903.01	$1,128.77	$1,580.27
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,264.22 / $1,264.22 / $1,264.22	Professional	22	$1,264.22	$1,264.22	$1,264.22
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $24.08 / $24.08 / $24.08	Professional	80	$24.08	$24.08	$24.08
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $20.47 / $20.47 / $20.47	Professional	AS	$20.47	$20.47	$20.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,777.00 / $8,586.00 / $15,722.00	Facility		$3,777.00	$8,586.00	$15,722.00