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 / $430.80	Facility		$55.00	$55.00	$430.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $760.58 / $760.58 / $760.58	Professional		$760.58	$760.58	$760.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $137.69 / $209.33	Facility		$115.12	$137.69	$209.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $116.00	Professional		$116.00	$116.00	$116.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $137.69 / $209.33	Facility		$115.12	$137.69	$209.33