Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $241.96 / $241.96 / $241.96	Facility	QK	$241.96	$241.96	$241.96
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $70.20 / $70.20 / $80.28	Facility	QX	$70.20	$70.20	$80.28
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $300.00 / $300.00 / $300.00	Facility	QZ	$300.00	$300.00	$300.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $122.23 / $806.86 / $1,120.00	Professional	AA	$122.23	$806.86	$1,120.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $458.58 / $583.10 / $610.54	Professional	QZ	$458.58	$583.10	$610.54
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $342.85 / $400.85 / $431.63	Professional	AA	$342.85	$400.85	$431.63