Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $711.45 / $1,120.00 / $1,540.00	Professional	AA	$711.45	$1,120.00	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $169.32 / $578.54 / $843.90	Professional	QZ	$169.32	$578.54	$843.90
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $244.20 / $244.20 / $244.20	Facility	QK	$244.20	$244.20	$244.20
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $244.20 / $244.20 / $244.20	Facility	QX	$244.20	$244.20	$244.20
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $244.20 / $244.20 / $244.20	Facility	QY	$244.20	$244.20	$244.20