Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $132.36 / $132.36 / $792.00	Professional	QZ	$132.36	$132.36	$792.00
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $145.00 / $175.00 / $202.50	Professional	QX	$145.00	$175.00	$202.50
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $145.00 / $175.00 / $202.50	Professional	QY	$145.00	$175.00	$202.50