Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $575.44	Professional		$229.09	$457.09	$575.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $831.76 / $1,096.48	Professional	50	$660.69	$831.76	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $40,738.03	Facility		$54.95	$56.23	$40,738.03
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	AS	$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $24,547.09 / $24,547.09	Professional		$23,988.33	$24,547.09	$24,547.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,862.09 / $5,754.40	Professional		$501.19	$1,862.09	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $5,011.87 / $9,549.93	Professional		$870.96	$5,011.87	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $2,398.83 / $6,760.83	Professional		$467.74	$2,398.83	$6,760.83