Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $73.75 / $100.60	Professional		$49.49	$73.75	$100.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $268.57 / $268.57	Facility		$85.00	$268.57	$268.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $40.96 / $60.42	Facility		$31.13	$40.96	$60.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $68.59 / $82.70	Professional		$48.40	$68.59	$82.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $41.90 / $60.42	Facility		$32.34	$41.90	$60.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $35.24 / $35.24	Professional		$35.24	$35.24	$35.24