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 $446.68 / $707.95 / $933.25	Professional	AA	$446.68	$707.95	$933.25
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $251.19 / $380.19 / $630.96	Professional	QK	$251.19	$380.19	$630.96
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $234.42 / $371.54 / $575.44	Professional	QX	$234.42	$371.54	$575.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $257.04 / $354.81 / $562.34	Professional	QY	$257.04	$354.81	$562.34
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $537.03 / $707.95	Professional	QZ	$309.03	$537.03	$707.95
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $446.68	Facility		$181.97	$245.47	$446.68