Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.46 / $327.25 / $417.38	Facility		$227.46	$327.25	$417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.37 / $375.87 / $705.33	Professional		$247.37	$375.87	$705.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.07 / $337.37 / $434.43	Professional		$189.07	$337.37	$434.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,557.00 / $5,240.56	Facility		$964.00	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $264.45 / $485.39	Professional		$138.66	$264.45	$485.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.95 / $170.77 / $189.07	Facility		$125.95	$170.77	$189.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $287.04 / $290.01 / $502.23	Professional		$287.04	$290.01	$502.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $257.39 / $422.95	Professional		$144.84	$257.39	$422.95
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $301.81 / $301.81 / $560.69	Professional	22	$301.81	$301.81	$560.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.87 / $2,178.87 / $2,500.00	Facility		$2,178.87	$2,178.87	$2,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.49 / $209.08 / $388.42	Professional		$202.49	$209.08	$388.42
United Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $344.32 / $546.27	Professional		$229.97	$344.32	$546.27