Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier QK Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	QK	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Facility Modifier QX Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	QX	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Facility Modifier QY Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	QY	$181.97	$181.97	$181.97
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
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90