Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $186.78 / $254.78	Professional		$125.34	$186.78	$254.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.89 / $359.47 / $359.47	Facility		$183.89	$359.47	$359.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $418.15 / $418.15	Professional		$417.00	$418.15	$418.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.70 / $108.47 / $149.94	Facility		$84.70	$108.47	$149.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $163.90 / $197.50	Professional		$132.10	$163.90	$197.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.49 / $109.15 / $149.94	Facility		$86.49	$109.15	$149.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $90.55 / $90.55	Professional		$90.55	$90.55	$90.55