Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $234.42 / $1,412.54 / $1,949.84	Professional	AA	$234.42	$1,412.54	$1,949.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $562.34 / $676.08 / $1,000.00	Professional	QZ	$562.34	$676.08	$1,000.00
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $1,412.54 / $1,949.84	Professional	AA	$489.78	$1,412.54	$1,949.84
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90