Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $172.06 / $830.00 / $1,757.34	Professional	AA	$172.06	$830.00	$1,757.34
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $264.77 / $302.60 / $511.50	Professional	QK	$264.77	$302.60	$511.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $172.50 / $249.20 / $378.00	Professional	QX	$172.50	$249.20	$378.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $311.50 / $346.50 / $649.64	Professional	QY	$311.50	$346.50	$649.64
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $697.76 / $1,352.80 / $1,860.10	Professional	QZ	$697.76	$1,352.80	$1,860.10
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $415.53 / $522.50 / $879.35	Professional	AA	$415.53	$522.50	$879.35
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $308.58 / $501.30 / $1,230.59	Professional	AA	$308.58	$501.30	$1,230.59