Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.05 / $515.05 / $1,003.02	Professional		$412.05	$515.05	$1,003.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $624.29 / $13,152.00 / $26,542.00	Facility		$624.29	$13,152.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,126.00 / $3,126.00 / $3,126.00	Professional		$3,126.00	$3,126.00	$3,126.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.51 / $324.39 / $525.71	Facility		$261.51	$324.39	$525.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.10 / $204.10 / $204.10	Professional		$204.10	$204.10	$204.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.51 / $324.39 / $525.71	Facility		$261.51	$324.39	$525.71