Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $95.25	Professional		$79.50	$79.50	$95.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.00 / $200.00	Facility		$100.00	$120.00	$200.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $139.00 / $242.49	Facility		$75.00	$139.00	$242.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $90.90 / $202.50	Professional		$14.40	$90.90	$202.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $21.93 / $111.08	Facility		$15.28	$21.93	$111.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00