Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $288.40	Facility		$165.96	$165.96	$288.40
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	QZ	$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $489.78 / $1,096.48	Professional	AA	$199.53	$489.78	$1,096.48
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $269.15 / $478.63 / $588.84	Professional	QK	$269.15	$478.63	$588.84
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $234.42 / $457.09 / $562.34	Professional	QX	$234.42	$457.09	$562.34
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $208.93 / $446.68 / $537.03	Professional	QY	$208.93	$446.68	$537.03
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $457.09 / $707.95	Professional	QZ	$346.74	$457.09	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $83,176.38 / $95,499.26	Facility		$64,565.42	$83,176.38	$95,499.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $50.12 / $3,311.31	Facility		$44.67	$50.12	$3,311.31