Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $691.83 / $1,258.93	Professional	AA	$138.04	$691.83	$1,258.93
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $77.62 / $478.63 / $741.31	Professional	QK	$77.62	$478.63	$741.31
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $79.43 / $524.81 / $724.44	Professional	QX	$79.43	$524.81	$724.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $74.13 / $478.63 / $588.84	Professional	QY	$74.13	$478.63	$588.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $426.58 / $794.33	Professional	QZ	$158.49	$426.58	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $83,176.38 / $95,499.26	Facility		$64,565.42	$83,176.38	$95,499.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $50.12 / $3,311.31	Facility		$44.67	$50.12	$3,311.31