Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $346.74 / $346.74	Facility		$251.19	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $95.50 / $199.53	Facility		$69.18	$95.50	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $100.00	Professional		$77.62	$91.20	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $208.93	Facility		$69.18	$100.00	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79