Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $626.99 / $626.99 / $626.99	Facility	QZ	$626.99	$626.99	$626.99
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $605.00 / $605.00 / $605.00	Professional	QZ	$605.00	$605.00	$605.00
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $144.59 / $172.68 / $200.33	Professional	QX	$144.59	$172.68	$200.33
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $144.59 / $172.68 / $200.33	Professional	QY	$144.59	$172.68	$200.33