Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $223.87 / $223.87 / $257.04	Facility	QK	$223.87	$223.87	$257.04
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $47.86 / $66.07 / $245.47	Facility	QX	$47.86	$66.07	$245.47
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	QZ	$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $134.90 / $724.44 / $1,047.13	Professional	AA	$134.90	$724.44	$1,047.13
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $102.33 / $457.09 / $831.76	Professional	QZ	$102.33	$457.09	$831.76
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
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $436.52 / $575.44	Professional	AA	$354.81	$436.52	$575.44