Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $346.74 / $933.25	Facility		$44.67	$346.74	$933.25
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	AA	$58.88	$58.88	$58.88
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $89.13 / $104.71 / $263.03	Facility	QK	$89.13	$104.71	$263.03
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $97.72 / $275.42 / $660.69	Facility	QX	$97.72	$275.42	$660.69
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	QY	$100.00	$100.00	$100.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $18.62 / $501.19 / $1,288.25	Facility	QZ	$18.62	$501.19	$1,288.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $630.96 / $1,230.27	Professional	AA	$141.25	$630.96	$1,230.27
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $89.13 / $309.03 / $524.81	Professional	QX	$89.13	$309.03	$524.81
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $234.42 / $302.00 / $478.63	Professional	QY	$234.42	$302.00	$478.63
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $512.86 / $891.25	Professional	QZ	$120.23	$512.86	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
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 $354.81 / $436.52 / $575.44	Professional	AA	$354.81	$436.52	$575.44