Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $364.82 / $461.97	Professional		$179.56	$364.82	$461.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.00 / $1,048.00 / $1,048.00	Professional		$1,048.00	$1,048.00	$1,048.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.92 / $137.91 / $298.70	Facility		$111.92	$137.91	$298.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $156.00 / $191.70	Professional		$4.00	$156.00	$191.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.12 / $138.47 / $304.80	Facility		$112.12	$138.47	$304.80