Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	QZ	$302.00	$302.00	$302.00
HMSA Facility/Professional Professional Modifier QZ Low / Median / High Price $3.72 / $3.98 / $4.37	Professional	QZ	$3.72	$3.98	$4.37