Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,479.11 / $1,479.11 / $1,819.70	Facility	QX	$1,479.11	$1,479.11	$1,819.70
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,659.59 / $2,454.71 / $3,715.35	Professional	AA	$1,659.59	$2,454.71	$3,715.35
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $371.54 / $977.24 / $2,951.21	Professional	QZ	$371.54	$977.24	$2,951.21
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 $630.96 / $794.33 / $1,047.13	Professional	AA	$630.96	$794.33	$1,047.13