Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $413.40 / $413.40 / $413.40	Facility	QX	$413.40	$413.40	$413.40
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $980.00 / $1,547.00 / $2,987.75	Professional	AA	$980.00	$1,547.00	$2,987.75
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $458.80 / $1,378.08 / $2,987.75	Professional	QX	$458.80	$1,378.08	$2,987.75
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $427.40 / $2,320.50 / $3,145.00	Professional	QY	$427.40	$2,320.50	$3,145.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $843.60 / $1,701.70 / $2,320.50	Professional	QZ	$843.60	$1,701.70	$2,320.50
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $698.15 / $698.15 / $793.35	Professional	AA	$698.15	$698.15	$793.35
United Facility/Professional Professional Modifier QY Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	QY	$80.00	$80.00	$80.00