Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.66 / $172.35 / $235.09	Professional		$115.66	$172.35	$235.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.73 / $273.93 / $273.93	Facility		$168.73	$273.93	$273.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $426.00 / $426.00	Professional		$426.00	$426.00	$426.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.81 / $114.12 / $153.32	Facility		$88.81	$114.12	$153.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $166.50 / $183.60	Professional		$152.30	$166.50	$183.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.51 / $115.20 / $153.40	Facility		$90.51	$115.20	$153.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $80.70 / $80.70	Professional		$80.70	$80.70	$80.70