Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $954.99 / $1,621.81 / $4,168.69	Facility	QK	$954.99	$1,621.81	$4,168.69
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $602.56 / $1,071.52 / $3,235.94	Facility	QX	$602.56	$1,071.52	$3,235.94
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	QZ	$1,318.26	$1,318.26	$1,318.26
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