Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $316.23 / $316.23	Facility		$50.12	$316.23	$316.23
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $54.95 / $354.81 / $426.58	Professional	AA	$54.95	$354.81	$426.58
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $380.19 / $489.78	Professional	QZ	$309.03	$380.19	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $316.23 / $2,089.30	Facility		$50.12	$316.23	$2,089.30
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $54.95 / $354.81 / $426.58	Professional	AA	$54.95	$354.81	$426.58
Moda Health Facility/Professional Professional Modifier QK Low / Median / High Price $229.09 / $263.03 / $281.84	Professional	QK	$229.09	$263.03	$281.84
Moda Health Facility/Professional Professional Modifier QX Low / Median / High Price $64.57 / $218.78 / $263.03	Professional	QX	$64.57	$218.78	$263.03
Moda Health Facility/Professional Professional Modifier QY Low / Median / High Price $57.54 / $208.93 / $269.15	Professional	QY	$57.54	$208.93	$269.15
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $371.54 / $489.78	Professional	QZ	$309.03	$371.54	$489.78