Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $426.58 / $426.58 / $954.99	Facility	AA	$426.58	$426.58	$954.99
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $234.42 / $416.87 / $870.96	Facility	QK	$234.42	$416.87	$870.96
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $162.18 / $812.83 / $4,265.80	Facility	QX	$162.18	$812.83	$4,265.80
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	QY	$251.19	$251.19	$251.19
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $363.08 / $1,071.52 / $1,230.27	Facility	QZ	$363.08	$1,071.52	$1,230.27
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $954.99 / $1,819.70	Professional	AA	$467.74	$954.99	$1,819.70
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $275.42 / $645.65 / $1,380.38	Professional	QZ	$275.42	$645.65	$1,380.38
Cigna Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $281.84 / $354.81 / $467.74	Professional	AA	$281.84	$354.81	$467.74