Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $453.45	Facility		$450.00	$450.00	$453.45
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $722.68 / $867.22 / $963.58	Facility	QZ	$722.68	$867.22	$963.58
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $180.17 / $661.99 / $1,239.30	Professional	AA	$180.17	$661.99	$1,239.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $910.52 / $1,239.30 / $1,979.01	Professional	QZ	$910.52	$1,239.30	$1,979.01
Providence Facility/Professional Professional Modifier QK Low / Median / High Price $145.00 / $180.00 / $206.30	Professional	QK	$145.00	$180.00	$206.30
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $145.00 / $180.00 / $206.30	Professional	QX	$145.00	$180.00	$206.30
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $145.00 / $180.00 / $206.30	Professional	QY	$145.00	$180.00	$206.30