Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $715.58 / $825.17 / $3,844.80	Professional	AA	$715.58	$825.17	$3,844.80
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $359.15 / $770.92 / $2,154.69	Professional	QK	$359.15	$770.92	$2,154.69
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $341.00 / $729.80 / $2,563.19	Professional	QX	$341.00	$729.80	$2,563.19
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $329.16 / $700.44 / $2,872.92	Professional	QY	$329.16	$700.44	$2,872.92
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $829.13 / $829.13 / $829.13	Professional	QZ	$829.13	$829.13	$829.13
AllWays Health Partners Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QK	$39.50	$39.50	$39.50
AllWays Health Partners Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QX	$39.50	$39.50	$39.50
AllWays Health Partners Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QY	$39.50	$39.50	$39.50
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
Mass General Brigham Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QK	$39.50	$39.50	$39.50
Mass General Brigham Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QX	$39.50	$39.50	$39.50
Mass General Brigham Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QY	$39.50	$39.50	$39.50