Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $257.04	Professional		$125.89	$186.21	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $194.98	Facility		$87.10	$120.23	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $204.17	Professional		$138.04	$173.78	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $194.98	Facility		$87.10	$120.23	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20