Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $172.06 / $792.00 / $1,540.00	Professional	AA	$172.06	$792.00	$1,540.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $649.64 / $649.64 / $649.64	Professional	QY	$649.64	$649.64	$649.64
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $500.50 / $500.96 / $837.20	Professional	QZ	$500.50	$500.96	$837.20
Providence Facility/Professional Professional Modifier QK Low / Median / High Price $195.00 / $217.20 / $247.56	Professional	QK	$195.00	$217.20	$247.56
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $195.00 / $217.20 / $247.56	Professional	QX	$195.00	$217.20	$247.56
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $195.00 / $217.20 / $247.56	Professional	QY	$195.00	$217.20	$247.56