Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	QZ	$1,445.44	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $43.65 / $2,089.30 / $2,570.40	Professional	QZ	$43.65	$2,089.30	$2,570.40
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	QZ	$1,445.44	$1,445.44	$1,445.44
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $1,047.13 / $1,047.13 / $1,318.26	Professional	AA	$1,047.13	$1,047.13	$1,318.26