Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $553.88 / $884.00	Facility		$29.54	$553.88	$884.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $573.05 / $573.05 / $884.00	Facility	25	$573.05	$573.05	$884.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,486.30 / $2,486.30 / $2,736.80	Facility		$2,486.30	$2,486.30	$2,736.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $16.12 / $23.41	Facility		$13.07	$16.12	$23.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $16.68 / $73.64	Professional		$11.12	$16.68	$73.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00