Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $283.50 / $396.90	Facility		$275.39	$283.50	$396.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $275.39	Professional		$275.39	$275.39	$275.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $550.79	Professional		$275.39	$275.39	$550.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40