Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $724.44 / $724.44 / $954.99	Facility	QZ	$724.44	$724.44	$954.99
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $478.63 / $870.96 / $2,187.76	Professional	AA	$478.63	$870.96	$2,187.76
Moda Health Facility/Professional Facility Modifier QZ Low / Median / High Price $724.44 / $724.44 / $954.99	Facility	QZ	$724.44	$724.44	$954.99
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $478.63 / $537.03 / $870.96	Professional	AA	$478.63	$537.03	$870.96