Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $330.00	Facility		$330.00	$330.00	$330.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $39.18 / $39.18 / $39.18	Professional	AA	$39.18	$39.18	$39.18
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $60.45 / $60.45 / $60.45	Professional	QX	$60.45	$60.45	$60.45
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $126.13 / $385.00 / $717.60	Professional	QZ	$126.13	$385.00	$717.60
United Facility/Professional Professional Modifier QX Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	QX	$80.00	$80.00	$80.00