Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $260.92 / $1,152.40 / $1,152.40	Facility		$260.92	$1,152.40	$1,152.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $201.12 / $201.12	Facility		$201.12	$201.12	$201.12