Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,412.54	Professional		$1,148.15	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $436.52	Facility		$154.88	$218.78	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $251.19 / $323.59	Professional		$0.60	$251.19	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $245.47 / $457.09	Facility		$213.80	$245.47	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $309.03	Professional		$162.18	$204.17	$309.03