Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $85.11	Professional		$41.69	$63.10	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $234.42 / $234.42	Facility		$109.65	$234.42	$234.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $42.66 / $81.28	Facility		$29.51	$42.66	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $72.44	Professional		$51.29	$60.26	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $43.65 / $67.61	Facility		$30.90	$43.65	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84