Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $977.24 / $977.24 / $2,238.72	Facility	QX	$977.24	$977.24	$2,238.72
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $380.19 / $1,258.93 / $2,187.76	Professional	QZ	$380.19	$1,258.93	$2,187.76
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