Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $85.58	Professional		$85.58	$85.58	$85.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $173.71 / $208.13	Professional		$173.71	$173.71	$208.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $228.21 / $677.49 / $677.49	Facility		$228.21	$677.49	$677.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $710.30 / $710.30 / $1,069.73	Professional		$710.30	$710.30	$1,069.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.27 / $280.50 / $429.00	Facility		$124.27	$280.50	$429.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $124.09 / $200.90	Professional		$45.00	$124.09	$200.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $610.95 / $1,028.81 / $2,207.00	Facility		$610.95	$1,028.81	$2,207.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $171.16 / $285.26	Professional		$92.71	$171.16	$285.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $198.26 / $198.26	Facility		$142.63	$198.26	$198.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $178.29 / $205.39	Professional		$150.47	$178.29	$205.39