Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $66.07	Professional		$26.30	$31.62	$66.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $34.67	Professional		$32.36	$33.11	$34.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $77.62	Professional		$31.62	$39.81	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $58.88	Professional		$20.89	$32.36	$58.88