Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.88 / $164.88 / $291.60	Facility		$164.88	$164.88	$291.60
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,155.20 / $1,155.20 / $1,155.20	Facility	QZ	$1,155.20	$1,155.20	$1,155.20
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $48.00 / $392.00 / $980.00	Professional	AA	$48.00	$392.00	$980.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $357.50 / $598.00 / $598.00	Professional	QZ	$357.50	$598.00	$598.00
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