Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $97.72	Professional		$47.86	$70.79	$97.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $245.47	Facility		$158.49	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $47.86 / $77.62	Facility		$34.67	$47.86	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $93.33	Professional		$54.95	$72.44	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $47.86 / $75.86	Facility		$34.67	$47.86	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31