Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $933.25 / $933.25 / $1,548.82	Facility	QZ	$933.25	$933.25	$1,548.82
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $891.25 / $3,715.35	Professional	AA	$870.96	$891.25	$3,715.35
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $616.60 / $2,089.30	Professional	QZ	$208.93	$616.60	$2,089.30
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $933.25 / $933.25 / $1,548.82	Facility	QZ	$933.25	$933.25	$1,548.82
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $912.01 / $1,380.38	Professional	AA	$870.96	$912.01	$1,380.38
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $239.88 / $616.60 / $1,174.90	Professional	QZ	$239.88	$616.60	$1,174.90