Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $63.28 / $69.29	Facility		$63.28	$63.28	$69.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $69.29 / $69.29	Professional		$63.28	$69.29	$69.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $96.80 / $96.80	Professional		$82.28	$96.80	$96.80
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 / $484.18 / $557.50	Facility		$100.00	$484.18	$557.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $272.97 / $272.97 / $272.97	Professional		$272.97	$272.97	$272.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $81.76	Facility		$63.28	$69.29	$81.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $81.76	Facility		$63.28	$69.29	$81.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00