Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $128.82 / $549.54 / $977.24	Professional	AA	$128.82	$549.54	$977.24
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $245.47 / $309.03 / $398.11	Professional	QX	$245.47	$309.03	$398.11
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $245.47 / $275.42 / $331.13	Professional	QY	$245.47	$275.42	$331.13
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $83.18 / $95.50 / $251.19	Professional	QZ	$83.18	$95.50	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $5,370.32	Facility		$2,398.83	$3,311.31	$5,370.32