Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility	QK	$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $562.34 / $776.25 / $812.83	Facility	QX	$562.34	$776.25	$812.83
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $2,754.23 / $4,265.80	Professional	AA	$870.96	$2,754.23	$4,265.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $870.96 / $1,548.82 / $3,311.31	Professional	QZ	$870.96	$1,548.82	$3,311.31
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 $776.25 / $977.24 / $1,288.25	Professional	AA	$776.25	$977.24	$1,288.25