Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $199.53 / $199.53 / $851.14	Facility	QK	$199.53	$199.53	$851.14
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $245.47 / $245.47 / $870.96	Facility	QX	$245.47	$245.47	$870.96
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	QY	$245.47	$245.47	$245.47
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