Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $4,488.00 / $4,488.00 / $4,488.00	Facility	AA	$4,488.00	$4,488.00	$4,488.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $151.10 / $169.48 / $458.22	Facility	QX	$151.10	$169.48	$458.22
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $2,211.60 / $2,211.60 / $2,211.60	Facility	QZ	$2,211.60	$2,211.60	$2,211.60
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.20 / $865.20 / $1,400.00	Professional	AA	$537.20	$865.20	$1,400.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $481.02 / $517.96	Professional	AA	$411.42	$481.02	$517.96
United Facility/Professional Professional Modifier AA Low / Median / High Price $85.00 / $85.00 / $85.00	Professional	AA	$85.00	$85.00	$85.00