Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.37 / $882.37 / $882.37	Professional		$882.37	$882.37	$882.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $63.70 / $64.30	Professional		$63.70	$63.70	$64.30