Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,260.00 / $1,820.00 / $4,060.00	Professional	AA	$1,260.00	$1,820.00	$4,060.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $675.12 / $675.12 / $1,157.09	Professional	QZ	$675.12	$675.12	$1,157.09
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $284.89 / $284.89 / $284.89	Facility	QK	$284.89	$284.89	$284.89
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $284.89 / $284.89 / $284.89	Facility	QX	$284.89	$284.89	$284.89
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $284.89 / $284.89 / $284.89	Facility	QY	$284.89	$284.89	$284.89