Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $389.05 / $977.24	Facility		$44.67	$389.05	$977.24
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $9.77 / $446.68 / $812.83	Facility	AA	$9.77	$446.68	$812.83
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $154.88 / $218.78 / $524.81	Facility	QK	$154.88	$218.78	$524.81
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $177.83 / $380.19 / $676.08	Facility	QX	$177.83	$380.19	$676.08
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $81.28 / $186.21 / $186.21	Facility	QY	$81.28	$186.21	$186.21
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $162.18 / $831.76 / $1,288.25	Facility	QZ	$162.18	$831.76	$1,288.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $380.19 / $691.83 / $1,071.52	Professional	AA	$380.19	$691.83	$1,071.52
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $223.87 / $331.13 / $575.44	Professional	QK	$223.87	$331.13	$575.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $218.78 / $331.13 / $575.44	Professional	QX	$218.78	$331.13	$575.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $234.42 / $331.13 / $562.34	Professional	QY	$234.42	$331.13	$562.34
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $512.86 / $794.33	Professional	QZ	$309.03	$512.86	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $389.05	Facility		$199.53	$199.53	$389.05
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $309.03 / $446.68 / $467.74	Professional	AA	$309.03	$446.68	$467.74
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $467.74 / $467.74	Professional	QZ	$446.68	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
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
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $281.84 / $354.81 / $467.74	Professional	AA	$281.84	$354.81	$467.74