Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AA	$954.99	$954.99	$954.99
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $912.01 / $954.99 / $1,023.29	Facility	QZ	$912.01	$954.99	$1,023.29
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $245.47 / $741.31 / $1,698.24	Professional	AA	$245.47	$741.31	$1,698.24
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $676.08 / $676.08 / $676.08	Professional	QK	$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $676.08 / $676.08 / $676.08	Professional	QX	$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $416.87 / $1,479.11 / $1,862.09	Professional	QZ	$416.87	$1,479.11	$1,862.09
Moda Health Facility/Professional Facility Modifier AA Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AA	$954.99	$954.99	$954.99
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $912.01 / $954.99 / $1,023.29	Facility	QZ	$912.01	$954.99	$1,023.29
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $676.08 / $758.58 / $954.99	Professional	AA	$676.08	$758.58	$954.99
Moda Health Facility/Professional Professional Modifier QK Low / Median / High Price $676.08 / $794.33 / $891.25	Professional	QK	$676.08	$794.33	$891.25
Moda Health Facility/Professional Professional Modifier QX Low / Median / High Price $676.08 / $812.83 / $912.01	Professional	QX	$676.08	$812.83	$912.01
Moda Health Facility/Professional Professional Modifier QY Low / Median / High Price $660.69 / $707.95 / $741.31	Professional	QY	$660.69	$707.95	$741.31
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $416.87 / $1,071.52 / $1,659.59	Professional	QZ	$416.87	$1,071.52	$1,659.59