Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $912.41 / $912.41 / $1,357.04	Facility	QZ	$912.41	$912.41	$1,357.04
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $815.37 / $1,057.78 / $2,633.50	Professional	AA	$815.37	$1,057.78	$2,633.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $990.86 / $990.86 / $1,820.22	Professional	QZ	$990.86	$990.86	$1,820.22
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $174.00 / $216.00 / $247.56	Professional	QX	$174.00	$216.00	$247.56
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $174.00 / $216.00 / $247.56	Professional	QY	$174.00	$216.00	$247.56