Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $562.34 / $562.34 / $794.33	Facility	AA	$562.34	$562.34	$794.33
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $269.15 / $371.54 / $645.65	Facility	QK	$269.15	$371.54	$645.65
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $281.84 / $478.63 / $912.01	Facility	QX	$281.84	$478.63	$912.01
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $338.84 / $416.87 / $524.81	Facility	QY	$338.84	$416.87	$524.81
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $741.31 / $1,071.52 / $1,621.81	Facility	QZ	$741.31	$1,071.52	$1,621.81
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $602.56 / $1,071.52 / $2,089.30	Professional	AA	$602.56	$1,071.52	$2,089.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $691.83 / $1,380.38	Professional	QZ	$398.11	$691.83	$1,380.38
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