Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,260.00 / $1,680.00 / $1,820.00	Professional	AA	$1,260.00	$1,680.00	$1,820.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $454.28 / $454.28 / $454.28	Professional	QK	$454.28	$454.28	$454.28
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $558.12 / $558.12 / $558.12	Professional	QX	$558.12	$558.12	$558.12
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $157.61 / $157.61 / $157.61	Professional	QZ	$157.61	$157.61	$157.61
Providence Facility/Professional Professional Modifier QK Low / Median / High Price $232.00 / $280.00 / $324.00	Professional	QK	$232.00	$280.00	$324.00
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $232.00 / $280.00 / $324.00	Professional	QX	$232.00	$280.00	$324.00