Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.90 / $364.85 / $417.19	Facility		$167.90	$364.85	$417.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $515.54 / $673.58	Professional		$515.54	$515.54	$673.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $84.00 / $156.44	Facility		$65.59	$84.00	$156.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $75.01 / $75.31	Professional		$75.01	$75.01	$75.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $110.10 / $110.10	Professional		$110.10	$110.10	$110.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.42 / $87.59 / $131.27	Facility		$72.42	$87.59	$131.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $109.17 / $202.44	Professional		$75.01	$109.17	$202.44
United Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $89.17 / $139.44	Professional		$65.62	$89.17	$139.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $86.94 / $246.80	Professional		$75.31	$86.94	$246.80