Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $371.54	Professional		$93.33	$151.36	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $123.03	Professional		$97.72	$102.33	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,630.27 / $2,630.27	Facility		$912.01	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $123.03 / $389.05	Professional		$48.98	$123.03	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $134.90	Professional		$114.82	$114.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $630.96	Professional		$295.12	$371.54	$630.96