Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	QZ	$1,584.89	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $758.58 / $831.76	Professional	QZ	$758.58	$758.58	$831.76
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	QZ	$1,584.89	$1,584.89	$1,584.89
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional	AA	$1,174.90	$1,174.90	$1,174.90
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $758.58 / $831.76	Professional	QZ	$758.58	$758.58	$831.76