Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $380.19 / $758.58 / $1,148.15	Professional	AA	$380.19	$758.58	$1,148.15
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $245.47 / $389.05 / $616.60	Professional	QK	$245.47	$389.05	$616.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $223.87 / $363.08 / $562.34	Professional	QX	$223.87	$363.08	$562.34
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $234.42 / $338.84 / $562.34	Professional	QY	$234.42	$338.84	$562.34
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $537.03 / $691.83	Professional	QZ	$346.74	$537.03	$691.83
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Health New England Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $588.84	Facility		$245.47	$295.12	$588.84