Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $812.83 / $812.83 / $1,096.48	Facility	QZ	$812.83	$812.83	$1,096.48
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $630.96 / $831.76 / $2,137.96	Professional	AA	$630.96	$831.76	$2,137.96
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $831.76 / $1,819.70	Professional	QZ	$446.68	$831.76	$1,819.70
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $812.83 / $812.83 / $1,096.48	Facility	QZ	$812.83	$812.83	$1,096.48
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $630.96 / $831.76 / $1,174.90	Professional	AA	$630.96	$831.76	$1,174.90
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $524.81 / $870.96 / $1,905.46	Professional	QZ	$524.81	$870.96	$1,905.46