Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	QK	$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	QX	$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $426.58 / $524.81 / $524.81	Professional	QZ	$426.58	$524.81	$524.81
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