Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $275.00 / $420.00	Facility		$45.00	$275.00	$420.00
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $518.70 / $577.65 / $588.78	Facility	AA	$518.70	$577.65	$588.78
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $241.33 / $274.22 / $274.22	Facility	QK	$241.33	$274.22	$274.22
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $232.82 / $340.43 / $450.32	Facility	QX	$232.82	$340.43	$450.32
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $249.95 / $249.95 / $261.45	Facility	QY	$249.95	$249.95	$261.45
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $640.20 / $790.50 / $1,288.81	Facility	QZ	$640.20	$790.50	$1,288.81
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $224.00 / $661.99 / $1,062.36	Professional	AA	$224.00	$661.99	$1,062.36
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $173.02 / $292.37 / $373.55	Professional	QK	$173.02	$292.37	$373.55
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $159.08 / $284.38 / $442.66	Professional	QX	$159.08	$284.38	$442.66
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $220.61 / $287.84 / $462.65	Professional	QY	$220.61	$287.84	$462.65
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.64 / $489.36 / $631.17	Professional	QZ	$316.64	$489.36	$631.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $220.00 / $424.60	Facility		$220.00	$220.00	$424.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $381.06 / $387.56 / $387.56	Professional	AA	$381.06	$387.56	$387.56
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $450.00 / $463.00 / $463.00	Professional	QZ	$450.00	$463.00	$463.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $342.85 / $400.85 / $431.63	Professional	AA	$342.85	$400.85	$431.63
Cigna Facility/Professional Professional Modifier QK Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QK	$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QX	$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QY	$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier QK Low / Median / High Price $130.00 / $130.00 / $130.00	Professional	QK	$130.00	$130.00	$130.00