Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.70 / $617.16 / $895.04	Facility		$304.70	$617.16	$895.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.27 / $342.27 / $895.04	Professional		$342.27	$342.27	$895.04
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 $342.76 / $403.25 / $913.47	Professional		$342.76	$403.25	$913.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.95 / $417.61 / $471.20	Facility		$357.95	$417.61	$471.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.87 / $325.87 / $676.04	Professional		$325.87	$325.87	$676.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,038.26 / $3,274.00 / $3,274.00	Professional		$1,038.26	$3,274.00	$3,274.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,897.85 / $2,279.71 / $3,005.44	Facility		$1,897.85	$2,279.71	$3,005.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,025.69 / $1,025.69 / $1,080.81	Professional		$1,025.69	$1,025.69	$1,080.81
United Facility/Professional Professional Modifier Low / Median / High Price $350.29 / $490.41 / $936.69	Professional		$350.29	$490.41	$936.69