Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $346.74 / $524.81	Facility		$47.86	$346.74	$524.81
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $97.72 / $114.82 / $338.84	Facility	QX	$97.72	$114.82	$338.84
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $741.31 / $741.31 / $1,659.59	Facility	QZ	$741.31	$741.31	$1,659.59
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $812.83 / $1,202.26	Professional	AA	$426.58	$812.83	$1,202.26
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $208.93 / $323.59 / $645.65	Professional	QK	$208.93	$323.59	$645.65
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $204.17 / $323.59 / $616.60	Professional	QX	$204.17	$323.59	$616.60
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $218.78 / $295.12 / $660.69	Professional	QY	$218.78	$295.12	$660.69
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $354.81 / $562.34 / $851.14	Professional	QZ	$354.81	$562.34	$851.14
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $575.44 / $575.44 / $660.69	Professional	AA	$575.44	$575.44	$660.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $107.15	Facility		$57.54	$69.18	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $63.10 / $213.80	Facility		$23.44	$63.10	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $501.19	Professional		$302.00	$323.59	$501.19