Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $478.63 / $1,174.90	Facility		$47.86	$478.63	$1,174.90
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $467.74 / $691.83 / $741.31	Facility	AA	$467.74	$691.83	$741.31
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $83.18 / $234.42 / $660.69	Facility	QK	$83.18	$234.42	$660.69
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $87.10 / $190.55 / $645.65	Facility	QX	$87.10	$190.55	$645.65
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $87.10 / $87.10 / $263.03	Facility	QY	$87.10	$87.10	$263.03
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $323.59 / $851.14 / $2,290.87	Facility	QZ	$323.59	$851.14	$2,290.87
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $398.11 / $776.25 / $1,412.54	Professional	AA	$398.11	$776.25	$1,412.54
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $173.78 / $371.54 / $645.65	Professional	QK	$173.78	$371.54	$645.65
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $190.55 / $371.54 / $645.65	Professional	QX	$190.55	$371.54	$645.65
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $245.47 / $346.74 / $588.84	Professional	QY	$245.47	$346.74	$588.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $281.84 / $562.34 / $954.99	Professional	QZ	$281.84	$562.34	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $457.09	Facility		$234.42	$234.42	$457.09
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $309.03 / $446.68 / $467.74	Professional	AA	$309.03	$446.68	$467.74
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $467.74 / $467.74	Professional	QZ	$446.68	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
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 $416.87 / $524.81 / $691.83	Professional	AA	$416.87	$524.81	$691.83