Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	QZ	$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $741.31 / $741.31 / $851.14	Professional	AA	$741.31	$741.31	$851.14
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,513.56 / $1,862.09 / $2,570.40	Professional	QZ	$1,513.56	$1,862.09	$2,570.40
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	QZ	$912.01	$912.01	$912.01
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $741.31 / $851.14 / $1,071.52	Professional	AA	$741.31	$851.14	$1,071.52
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $1,737.80 / $2,041.74 / $2,187.76	Professional	QZ	$1,737.80	$2,041.74	$2,187.76