Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $210.03 / $286.49	Professional		$140.94	$210.03	$286.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $205.69 / $388.68 / $538.66	Facility		$205.69	$388.68	$538.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $693.00 / $693.00	Professional		$693.00	$693.00	$693.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.10 / $173.53 / $247.70	Facility		$119.10	$173.53	$247.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.80 / $205.30 / $249.30	Professional		$187.80	$205.30	$249.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.05 / $175.13 / $248.67	Facility		$120.05	$175.13	$248.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $110.26 / $110.26	Professional		$110.26	$110.26	$110.26