Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $9,332.54	Professional		$602.56	$851.14	$9,332.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $67,608.30	Facility		$54.95	$56.23	$67,608.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60,255.96 / $70,794.58 / $70,794.58	Professional		$60,255.96	$70,794.58	$70,794.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,570.40 / $16,595.87	Professional		$707.95	$2,570.40	$16,595.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Facility		$22,908.68	$22,908.68	$22,908.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $14,791.08 / $27,542.29	Professional		$1,230.27	$14,791.08	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $16,218.10	Facility		$16,218.10	$16,218.10	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $6,025.60 / $16,982.44	Professional		$660.69	$6,025.60	$16,982.44