Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,248.48 / $1,248.48 / $1,248.48	Facility	QK	$1,248.48	$1,248.48	$1,248.48
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,434.43 / $1,434.43 / $1,434.43	Facility	QX	$1,434.43	$1,434.43	$1,434.43
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $3,192.00 / $3,360.00 / $3,780.00	Professional	AA	$3,192.00	$3,360.00	$3,780.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,124.20 / $1,148.15 / $1,300.73	Professional	QZ	$1,124.20	$1,148.15	$1,300.73
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $754.27 / $881.86 / $949.59	Professional	AA	$754.27	$881.86	$949.59
United Facility/Professional Professional Modifier AA Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	AA	$80.00	$80.00	$80.00
United Facility/Professional Professional Modifier QZ Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	QZ	$80.00	$80.00	$80.00