Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $380.19 / $467.74 / $489.78	Facility	QK	$380.19	$467.74	$489.78
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $512.86 / $1,047.13 / $1,288.25	Facility	QX	$512.86	$1,047.13	$1,288.25
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,659.59 / $1,659.59 / $1,778.28	Facility	QZ	$1,659.59	$1,659.59	$1,778.28
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