Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $275.00 / $396.00	Professional		$152.47	$275.00	$396.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.84 / $300.57 / $420.00	Professional		$118.84	$300.57	$420.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.14 / $492.59 / $536.40	Facility		$371.14	$492.59	$536.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $362.37 / $448.72	Professional		$134.72	$362.37	$448.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.78 / $136.29 / $157.51	Facility		$113.78	$136.29	$157.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $127.00 / $216.68	Professional		$108.71	$127.00	$216.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.45 / $233.91 / $1,384.82	Professional		$177.45	$233.91	$1,384.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $346.24 / $755.97	Professional		$74.59	$346.24	$755.97
United Facility/Professional Professional Modifier Low / Median / High Price $318.42 / $449.53 / $794.38	Professional		$318.42	$449.53	$794.38