Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	QZ	$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,698.24 / $2,238.72 / $3,019.95	Professional	QZ	$1,698.24	$2,238.72	$3,019.95
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	QZ	$977.24	$977.24	$977.24
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	QZ	$223.87	$223.87	$223.87