Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $151.36 / $151.36 / $4,786.30	Facility	QK	$151.36	$151.36	$4,786.30
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $602.56 / $933.25 / $4,466.84	Facility	QX	$602.56	$933.25	$4,466.84
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	QZ	$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $933.25 / $2,344.23 / $3,630.78	Professional	AA	$933.25	$2,344.23	$3,630.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $891.25 / $1,230.27 / $2,818.38	Professional	QZ	$891.25	$1,230.27	$2,818.38
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 $630.96 / $794.33 / $1,047.13	Professional	AA	$630.96	$794.33	$1,047.13