Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.75 / $5,461.09 / $9,872.00	Facility		$933.75	$5,461.09	$9,872.00
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
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $670.67 / $953.89 / $1,174.90	Facility		$670.67	$953.89	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $874.36 / $1,077.21 / $1,384.99	Professional		$874.36	$1,077.21	$1,384.99
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,175.14 / $1,175.14 / $1,175.14	Professional	22	$1,175.14	$1,175.14	$1,175.14
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $22.38 / $22.38 / $22.38	Professional	80	$22.38	$22.38	$22.38
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.03 / $19.03 / $19.03	Professional	AS	$19.03	$19.03	$19.03
United Facility/Professional Facility Modifier Low / Median / High Price $8,418.00 / $13,938.00 / $28,097.00	Facility		$8,418.00	$13,938.00	$28,097.00