Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $963.45 / $963.45 / $963.45	Facility	AA	$963.45	$963.45	$963.45
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $912.99 / $963.58 / $1,023.95	Facility	QZ	$912.99	$963.58	$1,023.95
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $197.81 / $763.83 / $1,952.94	Professional	AA	$197.81	$763.83	$1,952.94
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $661.99 / $1,568.48 / $1,665.30	Professional	QZ	$661.99	$1,568.48	$1,665.30
Providence Facility/Professional Professional Modifier QK Low / Median / High Price $174.00 / $216.00 / $247.56	Professional	QK	$174.00	$216.00	$247.56
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $174.00 / $216.00 / $247.56	Professional	QX	$174.00	$216.00	$247.56
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $174.00 / $216.00 / $247.56	Professional	QY	$174.00	$216.00	$247.56