Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	QX	$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	QZ	$1,819.70	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $776.25 / $1,819.70 / $2,691.53	Professional	AA	$776.25	$1,819.70	$2,691.53
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $691.83 / $1,148.15 / $2,454.71	Professional	QZ	$691.83	$1,148.15	$2,454.71
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $691.83 / $691.83 / $794.33	Professional	AA	$691.83	$691.83	$794.33