Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $66.07	Professional		$33.11	$33.88	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $83.18	Professional		$48.98	$48.98	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $181.97	Professional		$89.13	$97.72	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $64.57	Professional		$53.70	$57.54	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $107.15	Professional		$25.12	$41.69	$107.15