Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $446.68	Professional		$269.15	$269.15	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $870.96 / $954.99	Professional		$380.19	$870.96	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $398.11	Professional		$257.04	$288.40	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $575.44	Professional		$134.90	$288.40	$575.44