Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $173.78 / $346.74	Facility		$93.33	$173.78	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $380.19	Professional		$302.00	$354.81	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.78 / $371.54	Facility		$95.50	$173.78	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21