Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $426.58 / $489.78	Facility		$371.54	$426.58	$489.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $691.83	Professional		$416.87	$416.87	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,818.38 / $4,897.79	Professional		$1,023.29	$2,818.38	$4,897.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $4,265.80	Facility		$1,148.15	$4,265.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $478.63	Facility		$446.68	$446.68	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $933.25	Professional		$346.74	$457.09	$933.25