Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $912.01	Professional		$794.33	$794.33	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $165.96 / $269.15	Facility		$107.15	$165.96	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $165.96	Professional		$131.83	$154.88	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $165.96 / $281.84	Facility		$107.15	$165.96	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00