Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	QZ	$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $1,122.02 / $1,737.80	Professional	AA	$645.65	$1,122.02	$1,737.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $870.96 / $1,698.24	Professional	QZ	$758.58	$870.96	$1,698.24
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 $354.81 / $436.52 / $575.44	Professional	AA	$354.81	$436.52	$575.44