Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $630.96 / $851.14 / $1,000.00	Facility	QX	$630.96	$851.14	$1,000.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,258.93 / $1,258.93 / $1,659.59	Facility	QZ	$1,258.93	$1,258.93	$1,659.59