Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $275.00 / $377.25	Facility		$45.00	$275.00	$377.25
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $293.29 / $335.32 / $337.22	Facility	AA	$293.29	$335.32	$337.22
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $175.65 / $183.55 / $198.22	Facility	QK	$175.65	$183.55	$198.22
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $197.54 / $229.31 / $321.99	Facility	QX	$197.54	$229.31	$321.99
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $99.78 / $99.78 / $99.78	Facility	QY	$99.78	$99.78	$99.78
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $769.60 / $769.60 / $805.80	Facility	QZ	$769.60	$769.60	$805.80
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $128.90 / $514.60 / $980.00	Professional	AA	$128.90	$514.60	$980.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $172.50 / $297.44 / $406.03	Professional	QX	$172.50	$297.44	$406.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $268.62 / $344.10 / $398.57	Professional	QY	$268.62	$344.10	$398.57
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $124.12 / $471.12 / $637.63	Professional	QZ	$124.12	$471.12	$637.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $342.85 / $400.85 / $431.63	Professional	AA	$342.85	$400.85	$431.63
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QX	$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QY	$150.00	$150.00	$150.00