Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $18.44 / $25.15	Professional		$12.37	$18.44	$25.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $128.99 / $128.99	Facility		$65.00	$128.99	$128.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $69.15 / $69.15	Professional		$61.36	$69.15	$69.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $15.96 / $25.10	Facility		$11.64	$15.96	$25.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $20.60 / $31.60	Professional		$18.89	$20.60	$31.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $16.73 / $25.10	Facility		$12.51	$16.73	$25.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $12.13	Professional		$12.13	$12.13	$12.13