Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.39 / $315.00 / $315.00	Facility		$261.39	$315.00	$315.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $959.98 / $959.98 / $959.98	Facility	QZ	$959.98	$959.98	$959.98
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $305.52 / $327.75 / $427.74	Professional	AA	$305.52	$327.75	$427.74
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $294.42 / $344.41 / $422.18	Professional	QZ	$294.42	$344.41	$422.18
Moda Health Facility/Professional Professional Modifier QX Low / Median / High Price $252.00 / $252.00 / $252.00	Professional	QX	$252.00	$252.00	$252.00