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 / $4,919.43	Facility		$55.00	$55.00	$4,919.43
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $271.20 / $491.94 / $491.94	Facility	AS	$271.20	$491.94	$491.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,058.27 / $3,058.27 / $3,058.27	Facility		$3,058.27	$3,058.27	$3,058.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $456.49 / $456.49 / $456.49	Facility	80	$456.49	$456.49	$456.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $388.02 / $388.02 / $388.02	Facility	AS	$388.02	$388.02	$388.02