Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $707.95 / $14,791.08	Professional		$691.83	$707.95	$14,791.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $69,183.10	Facility		$54.95	$56.23	$69,183.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $79,432.82 / $93,325.43 / $93,325.43	Professional		$79,432.82	$93,325.43	$93,325.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,754.23 / $21,379.62	Professional		$758.58	$2,754.23	$21,379.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $30,199.52 / $30,199.52	Facility		$30,199.52	$30,199.52	$30,199.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $19,054.61 / $36,307.81	Professional		$1,288.25	$19,054.61	$36,307.81
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 $707.95 / $8,128.31 / $21,379.62	Professional		$707.95	$8,128.31	$21,379.62