Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $980.00 / $1,540.00 / $2,800.00	Professional	AA	$980.00	$1,540.00	$2,800.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $300.00 / $580.26 / $1,040.75	Professional	QX	$300.00	$580.26	$1,040.75
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $303.13 / $626.75 / $1,230.50	Professional	QY	$303.13	$626.75	$1,230.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $869.55 / $1,386.00 / $1,989.50	Professional	QZ	$869.55	$1,386.00	$1,989.50
United Facility/Professional Professional Modifier QY Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	QY	$80.00	$80.00	$80.00