Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $85.11	Professional		$41.69	$63.10	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $43.65 / $66.07	Facility		$31.62	$43.65	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $72.44	Professional		$47.86	$60.26	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $43.65 / $66.07	Facility		$31.62	$43.65	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20