Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $39.56 / $55.38	Facility		$38.43	$39.56	$55.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $38.43 / $38.43	Professional		$38.43	$38.43	$38.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $38.43 / $76.86	Professional		$38.43	$38.43	$76.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40