Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $489.78 / $707.95	Facility		$41.69	$489.78	$707.95
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	QZ	$251.19	$251.19	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $83.18 / $3,019.95	Facility		$42.66	$83.18	$3,019.95
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QK	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QX	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QY	$39.81	$39.81	$39.81