Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $316.23 / $616.60 / $1,258.93	Professional	AA	$316.23	$616.60	$1,258.93
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $154.88 / $331.13 / $467.74	Professional	QX	$154.88	$331.13	$467.74
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $208.93 / $295.12 / $416.87	Professional	QY	$208.93	$295.12	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $112.20 / $457.09 / $831.76	Professional	QZ	$112.20	$457.09	$831.76
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Health New England Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $295.12 / $524.81	Facility		$269.15	$295.12	$524.81