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 $663.74 / $784.42 / $980.00	Professional	AA	$663.74	$784.42	$980.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $374.11 / $466.01 / $656.93	Professional	QK	$374.11	$466.01	$656.93
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $360.45 / $460.04 / $608.63	Professional	QX	$360.45	$460.04	$608.63
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $354.62 / $424.19 / $505.77	Professional	QY	$354.62	$424.19	$505.77
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $618.46 / $731.19 / $1,277.43	Professional	QZ	$618.46	$731.19	$1,277.43
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $2,346.67 / $2,518.00	Facility		$300.00	$2,346.67	$2,518.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $245.40 / $450.00	Facility		$180.00	$245.40	$450.00