Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $21.73 / $21.73	Professional		$21.73	$21.73	$21.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $25.00 / $35.00	Professional		$20.00	$25.00	$35.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $71.75 / $10,000.00	Professional		$71.75	$71.75	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $119.23 / $121.68	Professional		$119.23	$119.23	$121.68