Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $109.63 / $505.25 / $505.25	Facility		$109.63	$505.25	$505.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93