Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $453.45	Facility		$450.00	$450.00	$453.45
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $150.00 / $180.00 / $206.30	Professional	QX	$150.00	$180.00	$206.30
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $150.00 / $180.00 / $206.30	Professional	QY	$150.00	$180.00	$206.30