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 / $3,658.83	Facility		$55.00	$55.00	$3,658.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,286.49 / $5,352.35 / $5,352.35	Professional		$4,286.49	$5,352.35	$5,352.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,067.95 / $1,316.60 / $2,583.64	Facility		$1,067.95	$1,316.60	$2,583.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.70 / $1,310.70 / $1,310.70	Professional		$1,310.70	$1,310.70	$1,310.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,067.95 / $1,316.60 / $2,583.64	Facility		$1,067.95	$1,316.60	$2,583.64