Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	QZ	$645.65	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	QZ	$645.65	$645.65	$645.65