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
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $522.12 / $522.12 / $522.12	Facility	52	$522.12	$522.12	$522.12
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 / $1,187.10 / $2,530.00	Facility		$800.00	$1,187.10	$2,530.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $974.42 / $1,307.76 / $1,766.30	Facility		$974.42	$1,307.76	$1,766.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.59 / $1,520.75 / $2,129.04	Professional		$1,216.59	$1,520.75	$2,129.04
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $32.44 / $32.44 / $32.44	Professional	80	$32.44	$32.44	$32.44
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.58 / $27.58 / $27.58	Professional	AS	$27.58	$27.58	$27.58
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