Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $812.83 / $933.25 / $1,096.48	Facility	QZ	$812.83	$933.25	$1,096.48
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $489.78 / $1,659.59	Professional	AA	$177.83	$489.78	$1,659.59
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $275.42 / $1,174.90 / $2,041.74	Professional	QZ	$275.42	$1,174.90	$2,041.74
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $812.83 / $933.25 / $1,096.48	Facility	QZ	$812.83	$933.25	$1,096.48
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $758.58 / $1,412.54	Professional	AA	$489.78	$758.58	$1,412.54
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $275.42 / $575.44 / $2,398.83	Professional	QZ	$275.42	$575.44	$2,398.83