Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $99.31 / $99.31 / $99.31	Professional	QZ	$99.31	$99.31	$99.31
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $140.00 / $155.40 / $162.00	Professional	QX	$140.00	$155.40	$162.00
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $140.00 / $155.40 / $162.00	Professional	QY	$140.00	$155.40	$162.00