Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.26 / $43.26 / $43.26	Facility		$43.26	$43.26	$43.26
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $652.79 / $908.12 / $1,193.61	Professional	AA	$652.79	$908.12	$1,193.61
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $403.41 / $549.09 / $768.17	Professional	QK	$403.41	$549.09	$768.17
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $404.28 / $549.09 / $750.44	Professional	QX	$404.28	$549.09	$750.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $380.14 / $466.81 / $579.53	Professional	QY	$380.14	$466.81	$579.53
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $747.50 / $1,014.90 / $1,194.00	Professional	QZ	$747.50	$1,014.90	$1,194.00
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,346.67 / $2,518.00	Facility		$450.00	$2,346.67	$2,518.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $315.00 / $720.00	Facility		$270.00	$315.00	$720.00