Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $450.00 / $1,134.00	Facility		$67.23	$450.00	$1,134.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $835.10 / $843.13 / $939.49	Facility	QZ	$835.10	$843.13	$939.49
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $483.76 / $544.14 / $960.40	Professional	AA	$483.76	$544.14	$960.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $910.52 / $1,230.46 / $1,587.85	Professional	QZ	$910.52	$1,230.46	$1,587.85
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