Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	QX	$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $426.58 / $524.81	Professional	AA	$426.58	$426.58	$524.81
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $562.34 / $933.25	Professional	QZ	$208.93	$562.34	$933.25
Moda Health Facility/Professional Facility Modifier QX Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	QX	$302.00	$302.00	$302.00
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $426.58 / $524.81	Professional	AA	$426.58	$426.58	$524.81
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $338.84 / $575.44 / $933.25	Professional	QZ	$338.84	$575.44	$933.25