Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	QZ	$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $758.58 / $758.58 / $1,995.26	Professional	AA	$758.58	$758.58	$1,995.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $549.54 / $1,584.89 / $2,570.40	Professional	QZ	$549.54	$1,584.89	$2,570.40
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	QZ	$831.76	$831.76	$831.76
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $602.56 / $776.25 / $1,380.38	Professional	AA	$602.56	$776.25	$1,380.38
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $1,621.81 / $2,570.40	Professional	QZ	$199.53	$1,621.81	$2,570.40