Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $912.01 / $912.01 / $1,348.96	Facility	QZ	$912.01	$912.01	$1,348.96
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $812.83 / $1,318.26 / $3,890.45	Professional	AA	$812.83	$1,318.26	$3,890.45
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $977.24 / $1,258.93 / $1,698.24	Professional	QX	$977.24	$1,258.93	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $407.38 / $1,819.70	Professional	QZ	$407.38	$407.38	$1,819.70
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $912.01 / $912.01 / $1,348.96	Facility	QZ	$912.01	$912.01	$1,348.96
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $891.25 / $1,288.25 / $1,584.89	Professional	AA	$891.25	$1,288.25	$1,584.89
Moda Health Facility/Professional Professional Modifier QX Low / Median / High Price $851.14 / $977.24 / $1,318.26	Professional	QX	$851.14	$977.24	$1,318.26
Moda Health Facility/Professional Professional Modifier QY Low / Median / High Price $870.96 / $870.96 / $977.24	Professional	QY	$870.96	$870.96	$977.24
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $1,000.00 / $1,819.70	Professional	QZ	$407.38	$1,000.00	$1,819.70