Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $146.75 / $274.00	Professional		$85.43	$146.75	$274.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.57 / $139.38 / $147.47	Facility		$134.57	$139.38	$147.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $220.70 / $350.87 / $350.87	Professional		$220.70	$350.87	$350.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $53.48 / $100.98	Professional		$23.07	$53.48	$100.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $57.36 / $100.38	Professional		$34.70	$57.36	$100.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $142.44 / $142.44	Facility		$131.69	$142.44	$142.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $81.22 / $144.32	Professional		$29.11	$81.22	$144.32