Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $426.58 / $524.81	Professional	AA	$389.05	$426.58	$524.81
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $204.17 / $467.74 / $562.34	Professional	QZ	$204.17	$467.74	$562.34
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $426.58 / $524.81	Professional	AA	$389.05	$426.58	$524.81
Moda Health Facility/Professional Professional Modifier QK Low / Median / High Price $66.07 / $269.15 / $338.84	Professional	QK	$66.07	$269.15	$338.84
Moda Health Facility/Professional Professional Modifier QX Low / Median / High Price $251.19 / $269.15 / $323.59	Professional	QX	$251.19	$269.15	$323.59
Moda Health Facility/Professional Professional Modifier QY Low / Median / High Price $70.79 / $239.88 / $302.00	Professional	QY	$70.79	$239.88	$302.00
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $457.09 / $537.03	Professional	QZ	$407.38	$457.09	$537.03