Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $83.18 / $213.80 / $346.74	Professional	QZ	$83.18	$213.80	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $5,128.61	Facility		$316.23	$2,089.30	$5,128.61
Moda Health Facility/Professional Professional Modifier QX Low / Median / High Price $63.10 / $63.10 / $239.88	Professional	QX	$63.10	$63.10	$239.88
Moda Health Facility/Professional Professional Modifier QY Low / Median / High Price $181.97 / $218.78 / $223.87	Professional	QY	$181.97	$218.78	$223.87
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $83.18 / $213.80 / $346.74	Professional	QZ	$83.18	$213.80	$346.74