Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $18.00 / $45.00	Facility		$12.00	$18.00	$45.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.11 / $195.11 / $195.11	Facility		$195.11	$195.11	$195.11