Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $47.38 / $100.01	Facility		$15.21	$47.38	$100.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $879.00 / $1,418.00	Facility		$662.00	$879.00	$1,418.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04