Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.50 / $5,503.00 / $17,414.93	Facility		$908.50	$5,503.00	$17,414.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,954.00 / $3,082.50 / $18,207.04	Facility	50	$1,954.00	$3,082.50	$18,207.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.17 / $459.35 / $1,547.31	Professional		$382.17	$459.35	$1,547.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,171.00 / $11,898.00 / $21,226.00	Facility		$7,171.00	$11,898.00	$21,226.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.04 / $597.78 / $879.10	Professional		$467.04	$597.78	$879.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.18 / $800.00 / $3,125.00	Facility		$493.18	$800.00	$3,125.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.91 / $48.91 / $48.91	Facility	AS	$48.91	$48.91	$48.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $591.62 / $867.74	Professional		$439.64	$591.62	$867.74
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $439.51 / $558.22 / $751.45	Facility		$439.51	$558.22	$751.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $515.28 / $648.39 / $944.68	Professional		$515.28	$648.39	$944.68
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $721.39 / $721.39 / $721.39	Professional	22	$721.39	$721.39	$721.39
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $13.74 / $13.74 / $13.74	Professional	80	$13.74	$13.74	$13.74
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $11.68 / $11.68 / $11.68	Professional	AS	$11.68	$11.68	$11.68
United Facility/Professional Facility Modifier Low / Median / High Price $6,868.00 / $13,938.00 / $20,534.00	Facility		$6,868.00	$13,938.00	$20,534.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.20 / $620.17 / $1,062.50	Professional		$445.20	$620.17	$1,062.50