Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $870.96 / $870.96 / $1,202.26	Facility	QZ	$870.96	$870.96	$1,202.26
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $346.74 / $501.19 / $1,862.09	Professional	AA	$346.74	$501.19	$1,862.09
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $524.81 / $1,348.96 / $1,862.09	Professional	QZ	$524.81	$1,348.96	$1,862.09
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $870.96 / $870.96 / $1,202.26	Facility	QZ	$870.96	$870.96	$1,202.26
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $346.74 / $630.96 / $977.24	Professional	AA	$346.74	$630.96	$977.24
Moda Health Facility/Professional Professional Modifier QZ Low / Median / High Price $524.81 / $524.81 / $851.14	Professional	QZ	$524.81	$524.81	$851.14