Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.69 / $1,187.51 / $1,504.05	Facility		$313.69	$1,187.51	$1,504.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $313.70 / $612.00	Professional		$302.36	$313.70	$612.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.41 / $294.41 / $300.00	Professional		$294.41	$294.41	$300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $237.50 / $314.95	Professional		$225.00	$237.50	$314.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $442.48 / $516.22 / $666.14	Facility		$442.48	$516.22	$666.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $834.61 / $834.61 / $834.61	Professional		$834.61	$834.61	$834.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.90 / $345.98 / $510.76	Professional		$335.90	$345.98	$510.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,192.66 / $2,878.70 / $4,055.55	Facility		$2,192.66	$2,878.70	$4,055.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $492.59 / $689.63 / $752.64	Professional		$492.59	$689.63	$752.64
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $380.59	Professional		$359.05	$359.05	$380.59