Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,352.76	Facility		$55.00	$55.00	$4,352.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,159.00 / $7,159.00 / $7,159.00	Professional		$7,159.00	$7,159.00	$7,159.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,132.26 / $1,435.24 / $2,113.69	Facility		$1,132.26	$1,435.24	$2,113.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.70 / $1,494.70 / $1,494.70	Professional		$1,494.70	$1,494.70	$1,494.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,132.26 / $1,435.24 / $2,113.69	Facility		$1,132.26	$1,435.24	$2,113.69