Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.26 / $43.26 / $43.26	Facility		$43.26	$43.26	$43.26
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $514.60 / $848.38 / $1,260.00	Professional	AA	$514.60	$848.38	$1,260.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $388.34 / $443.18 / $501.86	Professional	QX	$388.34	$443.18	$501.86
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $331.37 / $400.29 / $460.04	Professional	QY	$331.37	$400.29	$460.04
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $895.50 / $895.50 / $1,014.90	Professional	QZ	$895.50	$895.50	$1,014.90
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $2,346.67 / $2,518.00	Facility		$375.00	$2,346.67	$2,518.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $270.00 / $522.00	Facility		$225.00	$270.00	$522.00