Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,230.27 / $1,479.11	Facility		$316.23	$1,230.27	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $645.65	Professional		$257.04	$323.59	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $363.08	Professional		$275.42	$288.40	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $363.08	Professional		$223.87	$223.87	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $691.83	Facility		$457.09	$537.03	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $933.25	Professional		$338.84	$467.74	$933.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,365.16 / $9,772.37	Facility		$4,073.80	$4,365.16	$9,772.37
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $1,148.15	Facility		$416.87	$812.83	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $389.05	Professional		$363.08	$363.08	$389.05