Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	QK	$912.01	$912.01	$912.01
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $446.68 / $741.31 / $977.24	Facility	QX	$446.68	$741.31	$977.24
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility	QZ	$3,801.89	$3,801.89	$3,801.89
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