Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $888.00	Facility		$48.00	$48.00	$888.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $367.58 / $705.58 / $787.80	Facility	QX	$367.58	$705.58	$787.80
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $3,219.84 / $3,219.84 / $3,219.84	Facility	QZ	$3,219.84	$3,219.84	$3,219.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $47.08 / $119.81	Facility		$23.64	$47.08	$119.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $491.04 / $553.84 / $1,000.00	Professional		$491.04	$553.84	$1,000.00