Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.50 / $3,133.00 / $10,651.00	Facility		$955.50	$3,133.00	$10,651.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,954.00 / $2,866.50 / $6,845.00	Facility	50	$1,954.00	$2,866.50	$6,845.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.61 / $544.04 / $1,721.94	Professional		$465.61	$544.04	$1,721.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,427.00 / $7,478.00 / $13,989.00	Facility		$4,427.00	$7,478.00	$13,989.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.00 / $720.84 / $1,060.07	Professional		$557.00	$720.84	$1,060.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.21 / $800.00 / $3,125.00	Facility		$596.21	$800.00	$3,125.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.98 / $58.98 / $58.98	Facility	AS	$58.98	$58.98	$58.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.17 / $712.09 / $1,035.56	Professional		$527.17	$712.09	$1,035.56
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $531.04 / $674.45 / $906.41	Facility		$531.04	$674.45	$906.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.16 / $780.37 / $1,136.96	Professional		$620.16	$780.37	$1,136.96
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $868.22 / $868.22 / $868.22	Professional	22	$868.22	$868.22	$868.22
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $16.54 / $16.54 / $16.54	Professional	80	$16.54	$16.54	$16.54
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $14.06 / $14.06 / $14.06	Professional	AS	$14.06	$14.06	$14.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,527.00 / $8,210.00 / $15,722.00	Facility		$3,527.00	$8,210.00	$15,722.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.51 / $743.33 / $1,218.73	Professional		$546.51	$743.33	$1,218.73