Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $4,466.84 / $4,466.84 / $5,370.32	Facility	AA	$4,466.84	$4,466.84	$5,370.32
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $112.20 / $112.20 / $223.87	Facility	QK	$112.20	$112.20	$223.87
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $97.72 / $263.03 / $446.68	Facility	QX	$97.72	$263.03	$446.68
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $95.50 / $95.50 / $234.42	Facility	QY	$95.50	$95.50	$234.42
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $194.98 / $331.13 / $512.86	Facility	QZ	$194.98	$331.13	$512.86
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