Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $224.10 / $224.10 / $224.10	Facility	QK	$224.10	$224.10	$224.10
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $308.39 / $308.39 / $308.39	Facility	QX	$308.39	$308.39	$308.39
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $99.78 / $99.78 / $99.78	Facility	QY	$99.78	$99.78	$99.78
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $638.37 / $638.37 / $638.37	Facility	QZ	$638.37	$638.37	$638.37
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $333.69 / $356.72 / $530.00	Professional	QZ	$333.69	$356.72	$530.00