Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $4,211.76 / $4,211.76 / $4,211.76	Facility	QX	$4,211.76	$4,211.76	$4,211.76
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,360.10 / $1,360.10 / $1,360.10	Facility	QZ	$1,360.10	$1,360.10	$1,360.10