Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $501.19 / $912.01	Facility		$47.86	$501.19	$912.01
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $97.72 / $97.72 / $281.84	Facility	QX	$97.72	$97.72	$281.84
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $501.19 / $501.19 / $977.24	Facility	QZ	$501.19	$501.19	$977.24
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $891.25 / $1,380.38	Professional	AA	$489.78	$891.25	$1,380.38
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $194.98 / $389.05 / $691.83	Professional	QK	$194.98	$389.05	$691.83
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $213.80 / $371.54 / $676.08	Professional	QX	$213.80	$371.54	$676.08
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $229.09 / $331.13 / $660.69	Professional	QY	$229.09	$331.13	$660.69
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $331.13 / $575.44 / $977.24	Professional	QZ	$331.13	$575.44	$977.24
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $691.83 / $691.83 / $794.33	Professional	AA	$691.83	$691.83	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $107.15	Facility		$57.54	$69.18	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $44.67 / $407.38	Facility		$22.91	$44.67	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $602.56	Professional		$363.08	$389.05	$602.56