Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $954.99 / $954.99 / $2,398.83	Facility	QK	$954.99	$954.99	$2,398.83
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,584.89 / $1,584.89 / $3,235.94	Facility	QX	$1,584.89	$1,584.89	$3,235.94
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
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $954.99 / $954.99 / $2,398.83	Facility	QK	$954.99	$954.99	$2,398.83
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $1,584.89 / $1,584.89 / $3,235.94	Facility	QX	$1,584.89	$1,584.89	$3,235.94