Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.60 / $208.60 / $208.60	Facility		$208.60	$208.60	$208.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.10 / $220.97 / $345.39	Professional		$186.10	$220.97	$345.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $122.50 / $173.30	Professional		$56.90	$122.50	$173.30