Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $794.33 / $933.25 / $933.25	Facility	AA	$794.33	$933.25	$933.25
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $199.53 / $338.84 / $741.31	Facility	QK	$199.53	$338.84	$741.31
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $251.19 / $457.09 / $933.25	Facility	QX	$251.19	$457.09	$933.25
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $295.12 / $302.00 / $338.84	Facility	QY	$295.12	$302.00	$338.84
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $7.24 / $954.99 / $1,479.11	Facility	QZ	$7.24	$954.99	$1,479.11
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $478.63 / $933.25 / $1,513.56	Professional	AA	$478.63	$933.25	$1,513.56
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $281.84 / $416.87 / $660.69	Professional	QK	$281.84	$416.87	$660.69
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $275.42 / $407.38 / $660.69	Professional	QX	$275.42	$407.38	$660.69
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $302.00 / $407.38 / $707.95	Professional	QY	$302.00	$407.38	$707.95
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $630.96 / $1,122.02	Professional	QZ	$389.05	$630.96	$1,122.02
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 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 $416.87 / $524.81 / $691.83	Professional	AA	$416.87	$524.81	$691.83