Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,120.00 / $1,680.00 / $2,800.00	Professional	AA	$1,120.00	$1,680.00	$2,800.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $514.85 / $514.85 / $514.85	Professional	QY	$514.85	$514.85	$514.85
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $502.67 / $502.67 / $502.67	Professional	QZ	$502.67	$502.67	$502.67
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $210.00 / $233.10 / $243.00	Professional	QX	$210.00	$233.10	$243.00
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $210.00 / $233.10 / $243.00	Professional	QY	$210.00	$233.10	$243.00