Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $348.00 / $450.00	Facility		$30.00	$348.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $582.00	Professional		$30.00	$45.00	$582.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $258.00 / $578.58	Professional		$183.60	$258.00	$578.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.86 / $182.79 / $469.98	Facility		$121.86	$182.79	$469.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $486.84 / $756.00	Professional		$258.00	$486.84	$756.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $30.14 / $97.34	Professional		$7.50	$30.14	$97.34
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $72.03 / $90.00	Professional		$53.00	$72.03	$90.00