Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $181.97 / $275.42	Facility		$147.91	$181.97	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $281.84	Professional		$223.87	$263.03	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $302.00	Facility		$151.36	$181.97	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91