Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $555.00	Facility		$48.00	$48.00	$555.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $66.30 / $74.09 / $211.25	Facility	QX	$66.30	$74.09	$211.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $386.25 / $840.00 / $1,125.18	Professional	AA	$386.25	$840.00	$1,125.18
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $156.34 / $421.49 / $1,082.90	Professional	QX	$156.34	$421.49	$1,082.90
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $156.34 / $610.50 / $928.20	Professional	QY	$156.34	$610.50	$928.20
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $577.20 / $799.20 / $1,392.30	Professional	QZ	$577.20	$799.20	$1,392.30
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $581.79 / $581.79 / $661.13	Professional	AA	$581.79	$581.79	$661.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $139.33 / $242.05	Facility		$32.90	$139.33	$242.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $346.15 / $625.00	Professional		$306.89	$346.15	$625.00