Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.16 / $394.23 / $1,383.33	Facility		$299.16	$394.23	$1,383.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.58 / $619.51 / $2,404.90	Professional		$335.58	$619.51	$2,404.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.01 / $263.01 / $977.26	Professional		$263.01	$263.01	$977.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,379.00 / $10,137.00 / $10,137.00	Facility		$7,379.00	$10,137.00	$10,137.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.70 / $597.34 / $1,750.76	Professional		$238.70	$597.34	$1,750.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.18 / $380.21 / $442.68	Facility		$323.18	$380.21	$442.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $632.47 / $1,943.00	Professional		$214.36	$632.47	$1,943.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.81 / $521.41 / $1,045.42	Professional		$193.81	$521.41	$1,045.42
United Facility/Professional Professional Modifier Low / Median / High Price $765.58 / $1,225.08 / $1,889.39	Professional		$765.58	$1,225.08	$1,889.39