Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $95.39 / $130.12	Professional		$64.02	$95.39	$130.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $243.60 / $243.60	Facility		$92.87	$243.60	$243.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $57.62 / $81.27	Facility		$45.82	$57.62	$81.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $100.10 / $120.60	Professional		$66.09	$100.10	$120.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $58.15 / $81.27	Facility		$46.60	$58.15	$81.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $48.50 / $48.50	Professional		$48.50	$48.50	$48.50