Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,639.10 / $2,716.72 / $3,803.40	Facility		$2,639.10	$2,716.72	$3,803.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,639.10 / $2,639.10 / $3,958.65	Professional		$2,639.10	$2,639.10	$3,958.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $4,415.60 / $5,320.60	Professional		$27.40	$4,415.60	$5,320.60