Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.65 / $459.65 / $459.65	Facility		$459.65	$459.65	$459.65
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $128.71 / $693.00 / $1,400.00	Professional	AA	$128.71	$693.00	$1,400.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $574.10 / $574.10 / $574.10	Professional	QK	$574.10	$574.10	$574.10
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $108.28 / $416.00 / $594.00	Professional	QZ	$108.28	$416.00	$594.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
Providence Facility/Professional Professional Modifier QK Low / Median / High Price $162.50 / $181.00 / $206.30	Professional	QK	$162.50	$181.00	$206.30
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $162.50 / $181.00 / $206.30	Professional	QX	$162.50	$181.00	$206.30
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $162.50 / $181.00 / $206.30	Professional	QY	$162.50	$181.00	$206.30