Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	QZ	$870.96	$870.96	$870.96
HMSA Facility/Professional Professional Modifier QZ Low / Median / High Price $3.72 / $3.98 / $4.37	Professional	QZ	$3.72	$3.98	$4.37