Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $870.96 / $1,621.81 / $1,621.81	Facility	AA	$870.96	$1,621.81	$1,621.81
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $302.00 / $331.13 / $977.24	Facility	QK	$302.00	$331.13	$977.24
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $245.47 / $851.14 / $1,513.56	Facility	QX	$245.47	$851.14	$1,513.56
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	QY	$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $549.54 / $1,445.44 / $1,905.46	Facility	QZ	$549.54	$1,445.44	$1,905.46
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $1,230.27 / $2,238.72	Professional	AA	$616.60	$1,230.27	$2,238.72
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $851.14 / $1,584.89	Professional	QZ	$398.11	$851.14	$1,584.89
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