Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	QZ	$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $295.12 / $295.12 / $295.12	Professional	AA	$295.12	$295.12	$295.12
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	QZ	$1,122.02	$1,122.02	$1,122.02
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $295.12 / $851.14 / $933.25	Professional	AA	$295.12	$851.14	$933.25