Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $453.45	Facility		$450.00	$450.00	$453.45
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $835.10 / $939.49 / $963.58	Facility	QZ	$835.10	$939.49	$963.58
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $128.90 / $128.90 / $128.90	Professional	AA	$128.90	$128.90	$128.90
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,529.76 / $1,549.12 / $1,626.58	Professional	QZ	$1,529.76	$1,549.12	$1,626.58
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $145.00 / $180.00 / $206.30	Professional	QX	$145.00	$180.00	$206.30
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $145.00 / $180.00 / $206.30	Professional	QY	$145.00	$180.00	$206.30