Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier QK Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	QK	$316.23	$316.23	$316.23
Lucent Health Facility/Professional Facility Modifier QX Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	QX	$316.23	$316.23	$316.23
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90