Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,034.67 / $8,037.04 / $13,413.92	Facility		$4,034.67	$8,037.04	$13,413.92
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $16,269.62 / $16,269.62 / $16,269.62	Facility	AS	$16,269.62	$16,269.62	$16,269.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $626.16 / $3,227.74 / $4,518.84	Facility		$626.16	$3,227.74	$4,518.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.16 / $3,227.74 / $4,518.84	Facility		$626.16	$3,227.74	$4,518.84