Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,186.51 / $12,035.38 / $26,457.06	Facility		$5,186.51	$12,035.38	$26,457.06
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $5,028.80 / $5,028.80 / $5,028.80	Facility	AS	$5,028.80	$5,028.80	$5,028.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.13 / $4,149.21 / $5,808.89	Facility		$809.13	$4,149.21	$5,808.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.13 / $4,149.21 / $5,808.89	Facility		$809.13	$4,149.21	$5,808.89