Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.86 / $615.63 / $892.83	Facility		$303.86	$615.63	$892.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.45 / $340.45 / $892.83	Professional		$340.45	$340.45	$892.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $2,199.12 / $3,048.19	Facility		$460.00	$2,199.12	$3,048.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.90 / $411.90 / $826.03	Professional		$342.90	$411.90	$826.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.21 / $415.58 / $469.15	Facility		$356.21	$415.58	$469.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.20 / $325.20 / $672.02	Professional		$325.20	$325.20	$672.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,033.75 / $2,781.00 / $4,158.00	Professional		$1,033.75	$2,781.00	$4,158.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $948.92 / $1,139.84 / $1,369.93	Facility		$948.92	$1,139.84	$1,369.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.58 / $1,008.58 / $1,062.77	Professional		$1,008.58	$1,008.58	$1,062.77
United Facility/Professional Professional Modifier Low / Median / High Price $367.74 / $479.01 / $931.72	Professional		$367.74	$479.01	$931.72