Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $963.30 / $963.30 / $963.30	Facility	QX	$963.30	$963.30	$963.30
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $5,394.29 / $5,394.29 / $5,394.29	Facility	QZ	$5,394.29	$5,394.29	$5,394.29