Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $1,122.02	Professional		$223.87	$331.13	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $263.03	Professional		$141.25	$190.55	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $141.25	Facility		$128.82	$128.82	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $245.47	Professional		$66.07	$95.50	$245.47