Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $338.84 / $380.19 / $524.81	Professional	AA	$338.84	$380.19	$524.81
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $354.81 / $407.38 / $467.74	Professional	QZ	$354.81	$407.38	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $380.19 / $2,089.30	Facility		$89.13	$380.19	$2,089.30
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $338.84 / $380.19 / $524.81	Professional	AA	$338.84	$380.19	$524.81
Moda Health Facility/Professional Professional Modifier QK Low / Median / High Price $112.20 / $218.78 / $295.12	Professional	QK	$112.20	$218.78	$295.12
Moda Health Facility/Professional Professional Modifier QX Low / Median / High Price $95.50 / $257.04 / $309.03	Professional	QX	$95.50	$257.04	$309.03
Moda Health Facility/Professional Professional Modifier QY Low / Median / High Price $208.93 / $208.93 / $218.78	Professional	QY	$208.93	$208.93	$218.78
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $407.38 / $467.74	Professional	QZ	$346.74	$407.38	$467.74