Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,551.00 / $5,041.00 / $10,651.00	Facility		$2,551.00	$5,041.00	$10,651.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,350.00 / $15,967.00 / $33,678.00	Facility		$9,350.00	$15,967.00	$33,678.00
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $2,488.98 / $3,360.14 / $4,139.68	Facility		$2,488.98	$3,360.14	$4,139.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,111.24 / $3,833.04 / $4,928.20	Professional		$3,111.24	$3,833.04	$4,928.20
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $79.65 / $79.65 / $79.65	Professional	80	$79.65	$79.65	$79.65
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $67.70 / $67.70 / $67.70	Professional	AS	$67.70	$67.70	$67.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,292.00 / $8,535.00 / $12,740.00	Facility		$1,292.00	$8,535.00	$12,740.00