Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $691.83 / $691.83 / $10,000.00	Facility	AA	$691.83	$691.83	$10,000.00
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $251.19 / $346.74 / $588.84	Facility	QK	$251.19	$346.74	$588.84
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $288.40 / $691.83 / $1,230.27	Facility	QX	$288.40	$691.83	$1,230.27
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	QY	$177.83	$177.83	$177.83
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $870.96 / $1,621.81 / $1,778.28	Facility	QZ	$870.96	$1,621.81	$1,778.28
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $602.56 / $1,174.90 / $1,949.84	Professional	AA	$602.56	$1,174.90	$1,949.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $323.59 / $676.08 / $1,412.54	Professional	QZ	$323.59	$676.08	$1,412.54
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