Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $120.23	Professional		$58.88	$89.13	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,778.28 / $1,778.28	Facility		$173.78	$1,778.28	$1,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $57.54 / $93.33	Facility		$41.69	$57.54	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $100.00	Professional		$66.07	$83.18	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $57.54 / $91.20	Facility		$42.66	$57.54	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81