Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $725.52	Facility		$720.00	$720.00	$725.52
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,192.43 / $1,192.43 / $1,192.43	Facility	QZ	$1,192.43	$1,192.43	$1,192.43
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $2,560.94 / $2,560.94 / $2,560.94	Professional	QZ	$2,560.94	$2,560.94	$2,560.94
Providence Facility/Professional Professional Modifier QK Low / Median / High Price $232.00 / $288.00 / $330.08	Professional	QK	$232.00	$288.00	$330.08
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $232.00 / $288.00 / $330.08	Professional	QX	$232.00	$288.00	$330.08