Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $290.00 / $375.00	Facility		$30.00	$290.00	$375.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $485.00	Professional		$30.00	$45.00	$485.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $215.00 / $482.15	Professional		$153.00	$215.00	$482.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.55 / $152.33 / $391.65	Facility		$101.55	$152.33	$391.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $405.70 / $630.00	Professional		$215.00	$405.70	$630.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $30.14 / $97.34	Professional		$6.00	$30.14	$97.34
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $72.00 / $90.00	Professional		$52.00	$72.00	$90.00