Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $929.17 / $929.17 / $929.17	Facility	AA	$929.17	$929.17	$929.17
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $355.38 / $417.50 / $417.50	Facility	QK	$355.38	$417.50	$417.50
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $319.27 / $457.43 / $634.97	Facility	QX	$319.27	$457.43	$634.97
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $238.71 / $293.04 / $319.09	Facility	QY	$238.71	$293.04	$319.09
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $834.08 / $834.08 / $864.95	Facility	QZ	$834.08	$834.08	$864.95
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $426.80 / $792.00 / $1,393.82	Professional	AA	$426.80	$792.00	$1,393.82
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $233.47 / $341.80 / $520.83	Professional	QK	$233.47	$341.80	$520.83
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $220.50 / $336.35 / $457.62	Professional	QX	$220.50	$336.35	$457.62
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $317.27 / $427.87 / $649.64	Professional	QY	$317.27	$427.87	$649.64
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $433.11 / $618.40 / $836.60	Professional	QZ	$433.11	$618.40	$836.60
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 $411.42 / $481.02 / $517.96	Professional	AA	$411.42	$481.02	$517.96
Cigna Facility/Professional Professional Modifier QK Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QK	$180.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QX	$180.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QY	$180.00	$180.00	$180.00
United Facility/Professional Professional Modifier QY Low / Median / High Price $85.00 / $85.00 / $85.00	Professional	QY	$85.00	$85.00	$85.00