Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.22 / $222.46 / $388.15	Facility		$88.22	$222.46	$388.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $9,513.25 / $9,513.25 / $9,513.25	Facility		$9,513.25	$9,513.25	$9,513.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $114.40 / $249.78	Facility		$88.00	$114.40	$249.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $114.40 / $249.78	Facility		$88.00	$114.40	$249.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $18.01	Professional		$13.34	$13.34	$18.01