Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $475.20 / $594.00	Facility		$48.00	$475.20	$594.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $97.18 / $114.08 / $338.00	Facility	QX	$97.18	$114.08	$338.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $748.49 / $748.49 / $1,670.49	Facility	QZ	$748.49	$748.49	$1,670.49
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $566.10 / $794.74 / $1,260.00	Professional	AA	$566.10	$794.74	$1,260.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $187.00 / $610.50 / $1,292.00	Professional	QK	$187.00	$610.50	$1,292.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $177.80 / $477.42 / $1,168.60	Professional	QX	$177.80	$477.42	$1,168.60
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $205.39 / $677.10 / $1,258.00	Professional	QY	$205.39	$677.10	$1,258.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $361.73 / $699.30 / $1,258.00	Professional	QZ	$361.73	$699.30	$1,258.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $581.79 / $581.79 / $661.13	Professional	AA	$581.79	$581.79	$661.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $113.74 / $215.13	Facility		$22.45	$113.74	$215.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $346.15 / $625.00	Professional		$306.89	$346.15	$625.00