Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $501.19 / $616.60	Facility		$47.86	$501.19	$616.60
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $85.11 / $85.11 / $97.72	Facility	QX	$85.11	$85.11	$97.72
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $478.63 / $616.60 / $1,584.89	Facility	QZ	$478.63	$616.60	$1,584.89
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $398.11 / $776.25 / $1,096.48	Professional	AA	$398.11	$776.25	$1,096.48
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $204.17 / $316.23 / $602.56	Professional	QK	$204.17	$316.23	$602.56
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $194.98 / $302.00 / $602.56	Professional	QX	$194.98	$302.00	$602.56
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $208.93 / $323.59 / $691.83	Professional	QY	$208.93	$323.59	$691.83
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $524.81 / $870.96	Professional	QZ	$346.74	$524.81	$870.96
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $467.74 / $524.81	Professional	AA	$467.74	$467.74	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $107.15	Facility		$57.54	$69.18	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $154.88 / $1,258.93	Facility		$22.39	$154.88	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $501.19	Professional		$302.00	$323.59	$501.19