Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $79.43	Professional		$38.90	$58.88	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,778.28 / $1,778.28	Facility		$112.20	$1,778.28	$1,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $162.18	Professional		$147.91	$147.91	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.02 / $61.66	Facility		$28.18	$38.02	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $66.07	Professional		$42.66	$54.95	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.02 / $60.26	Facility		$28.18	$38.02	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30