Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $1,067.22 / $1,067.22	Facility		$45.00	$1,067.22	$1,067.22
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $189.00 / $220.50 / $264.77	Professional	QK	$189.00	$220.50	$264.77
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $186.90 / $226.95 / $302.60	Professional	QX	$186.90	$226.95	$302.60
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $218.05 / $252.00 / $264.77	Professional	QY	$218.05	$252.00	$264.77
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $378.00 / $593.63 / $697.76	Professional	QZ	$378.00	$593.63	$697.76
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $252.86 / $317.95 / $347.76	Professional	AA	$252.86	$317.95	$347.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $50.00 / $2,700.00	Facility		$35.00	$50.00	$2,700.00