Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $52.98 / $130.24	Facility		$21.91	$52.98	$130.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.62 / $19.20	Professional		$5.26	$5.62	$19.20