Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.23 / $1,108.30 / $1,108.30	Facility		$495.23	$1,108.30	$1,108.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $297.18 / $335.64	Professional		$209.77	$297.18	$335.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.22 / $386.33 / $1,065.15	Facility		$262.22	$386.33	$1,065.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.74 / $279.68 / $545.62	Professional		$223.74	$279.68	$545.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $506.95 / $751.45	Facility		$349.62	$506.95	$751.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.66 / $624.62 / $1,622.52	Professional		$314.66	$624.62	$1,622.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $489.47 / $646.79	Professional		$349.62	$489.47	$646.79
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $209.77 / $635.29	Professional		$146.84	$209.77	$635.29