Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,288.25	Professional		$933.25	$1,288.25	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $229.09 / $288.40	Professional		$0.60	$229.09	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $295.12	Professional		$151.36	$190.55	$295.12