Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $104.71	Professional		$83.18	$87.10	$104.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $398.11	Professional		$234.42	$398.11	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $117.49	Facility		$79.43	$97.72	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $120.23	Professional		$74.13	$74.13	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $30.20	Professional		$0.60	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $120.23	Facility		$77.62	$97.72	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $2,398,832.92 / $2,398,832.92	Professional		$74.13	$2,398,832.92	$2,398,832.92
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $109.65	Professional		$97.72	$104.71	$109.65