Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $489.78 / $831.76 / $870.96	Facility	QX	$489.78	$831.76	$870.96
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	QZ	$575.44	$575.44	$575.44