Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $216.89 / $1,129.51 / $1,820.00	Professional	AA	$216.89	$1,129.51	$1,820.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $833.04 / $833.04 / $912.29	Professional	QZ	$833.04	$833.04	$912.29
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $244.20 / $244.20 / $244.20	Facility	QK	$244.20	$244.20	$244.20
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $244.20 / $244.20 / $244.20	Facility	QX	$244.20	$244.20	$244.20
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $244.20 / $244.20 / $244.20	Facility	QY	$244.20	$244.20	$244.20