Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $128.82 / $812.83 / $1,023.29	Professional	AA	$128.82	$812.83	$1,023.29
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $67.61 / $467.74 / $602.56	Professional	QX	$67.61	$467.74	$602.56
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $57.54 / $181.97 / $416.87	Professional	QY	$57.54	$181.97	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $114.82 / $331.13 / $794.33	Professional	QZ	$114.82	$331.13	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $83,176.38 / $95,499.26	Facility		$64,565.42	$83,176.38	$95,499.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $2,238.72 / $3,311.31	Facility		$50.12	$2,238.72	$3,311.31