Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $520.00 / $712.08	Facility		$58.79	$520.00	$712.08
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $251.46 / $251.46 / $251.46	Facility	QZ	$251.46	$251.46	$251.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $2,615.98 / $3,041.64	Facility		$42.84	$2,615.98	$3,041.64
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QK	$39.50	$39.50	$39.50
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QX	$39.50	$39.50	$39.50
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QY	$39.50	$39.50	$39.50