Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $1,513.56	Professional		$134.90	$263.03	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $72.44 / $114.82	Facility		$32.36	$72.44	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $346.74	Professional		$128.82	$199.53	$346.74