Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $284.76 / $284.76	Facility		$284.76	$284.76	$284.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $148.81 / $302.23	Professional		$128.30	$148.81	$302.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $168.60 / $238.40	Professional		$77.09	$168.60	$238.40