Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,582.90 / $1,582.90 / $1,582.90	Facility	QX	$1,582.90	$1,582.90	$1,582.90
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $874.46 / $874.46 / $874.46	Facility	QY	$874.46	$874.46	$874.46