Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $263.03	Facility		$169.82	$169.82	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $524.81	Professional		$257.04	$380.19	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $1,023.29	Professional		$281.84	$416.87	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $407.38	Facility		$346.74	$346.74	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $446.68	Professional		$295.12	$371.54	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $446.68	Professional		$147.91	$199.53	$446.68