Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $3,715.35 / $4,466.84 / $5,128.61	Facility	AA	$3,715.35	$4,466.84	$5,128.61
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $117.49 / $407.38 / $676.08	Facility	QK	$117.49	$407.38	$676.08
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $602.56 / $831.76 / $5,623.41	Facility	QX	$602.56	$831.76	$5,623.41
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $302.00 / $436.52 / $2,041.74	Facility	QY	$302.00	$436.52	$2,041.74
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,698.24 / $1,949.84 / $2,818.38	Facility	QZ	$1,698.24	$1,949.84	$2,818.38
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $741.31 / $1,548.82 / $2,818.38	Professional	AA	$741.31	$1,548.82	$2,818.38
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $363.08 / $630.96 / $977.24	Professional	QX	$363.08	$630.96	$977.24
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $645.65 / $1,071.52	Professional	QY	$316.23	$645.65	$1,071.52
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $478.63 / $933.25 / $1,949.84	Professional	QZ	$478.63	$933.25	$1,949.84
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 $416.87 / $524.81 / $691.83	Professional	AA	$416.87	$524.81	$691.83