Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $71.83 / $130.97 / $388.70	Facility	QX	$71.83	$130.97	$388.70
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,703.97 / $1,703.97 / $1,703.97	Facility	QZ	$1,703.97	$1,703.97	$1,703.97
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $754.80 / $1,010.10 / $1,540.00	Professional	AA	$754.80	$1,010.10	$1,540.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $214.59 / $743.70 / $1,453.50	Professional	QK	$214.59	$743.70	$1,453.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $211.52 / $549.52 / $1,453.50	Professional	QX	$211.52	$549.52	$1,453.50
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $223.78 / $743.70 / $1,388.94	Professional	QY	$223.78	$743.70	$1,388.94
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $472.09 / $843.60 / $1,392.30	Professional	QZ	$472.09	$843.60	$1,392.30
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $698.15 / $698.15 / $793.35	Professional	AA	$698.15	$698.15	$793.35