Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,725.01 / $8,836.00 / $23,173.08	Facility		$4,725.01	$8,836.00	$23,173.08
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $29,877.39 / $29,877.39 / $29,877.39	Facility	AS	$29,877.39	$29,877.39	$29,877.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $736.46 / $3,780.01 / $5,405.41	Facility		$736.46	$3,780.01	$5,405.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.46 / $3,780.01 / $5,292.01	Facility		$736.46	$3,780.01	$5,292.01
United Facility/Professional Facility Modifier Low / Median / High Price $14,287.46 / $14,287.46 / $14,287.46	Facility		$14,287.46	$14,287.46	$14,287.46