Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $831.76 / $1,258.93	Professional	AA	$489.78	$831.76	$1,258.93
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $263.03 / $426.58 / $691.83	Professional	QK	$263.03	$426.58	$691.83
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $245.47 / $426.58 / $676.08	Professional	QX	$245.47	$426.58	$676.08
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $389.05 / $616.60	Professional	QY	$269.15	$389.05	$616.60
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $562.34 / $741.31	Professional	QZ	$346.74	$562.34	$741.31
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Health New England Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $389.05 / $812.83	Facility		$295.12	$389.05	$812.83