Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $583.44 / $583.44 / $583.44	Facility	QZ	$583.44	$583.44	$583.44
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $172.06 / $980.00 / $1,540.00	Professional	AA	$172.06	$980.00	$1,540.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $250.00 / $333.14 / $333.14	Professional	QK	$250.00	$333.14	$333.14
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $224.00 / $224.00 / $224.00	Professional	QX	$224.00	$224.00	$224.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $227.50 / $227.50 / $227.50	Professional	QY	$227.50	$227.50	$227.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $693.00 / $693.00 / $693.00	Professional	QZ	$693.00	$693.00	$693.00
Providence Facility/Professional Professional Modifier QK Low / Median / High Price $174.00 / $233.10 / $243.00	Professional	QK	$174.00	$233.10	$243.00
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $174.00 / $233.10 / $243.00	Professional	QX	$174.00	$233.10	$243.00
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $174.00 / $233.10 / $243.00	Professional	QY	$174.00	$233.10	$243.00