Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	QX	$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $389.05 / $512.86	Professional	AA	$389.05	$389.05	$512.86
Moda Health Facility/Professional Facility Modifier QX Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	QX	$707.95	$707.95	$707.95
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $389.05 / $512.86	Professional	AA	$389.05	$389.05	$512.86