Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.26 / $281.20 / $445.05	Facility		$43.26	$281.20	$445.05
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $9.78 / $448.20 / $810.46	Facility	AA	$9.78	$448.20	$810.46
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $159.12 / $211.30 / $522.90	Facility	QK	$159.12	$211.30	$522.90
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $243.29 / $406.93 / $499.72	Facility	QX	$243.29	$406.93	$499.72
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $133.83 / $143.26 / $231.94	Facility	QY	$133.83	$143.26	$231.94
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $614.97 / $765.07 / $810.09	Facility	QZ	$614.97	$765.07	$810.09
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $373.99 / $508.74 / $960.40	Professional	AA	$373.99	$508.74	$960.40
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $189.00 / $283.50 / $350.11	Professional	QK	$189.00	$283.50	$350.11
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $165.54 / $262.27 / $343.08	Professional	QX	$165.54	$262.27	$343.08
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $218.05 / $279.00 / $417.50	Professional	QY	$218.05	$279.00	$417.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $364.44 / $550.62 / $640.20	Professional	QZ	$364.44	$550.62	$640.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $386.00	Facility		$200.00	$200.00	$386.00
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 $274.27 / $320.67 / $345.30	Professional	AA	$274.27	$320.67	$345.30
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