Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $2,800.00 / $2,800.00 / $2,800.00	Professional	AA	$2,800.00	$2,800.00	$2,800.00
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $366.30 / $366.30 / $366.30	Facility	QK	$366.30	$366.30	$366.30
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $366.30 / $366.30 / $366.30	Facility	QX	$366.30	$366.30	$366.30
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $366.30 / $366.30 / $366.30	Facility	QY	$366.30	$366.30	$366.30