Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $954.99 / $954.99 / $3,715.35	Facility	AA	$954.99	$954.99	$3,715.35
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $302.00 / $489.78 / $891.25	Facility	QK	$302.00	$489.78	$891.25
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $446.68 / $758.58 / $1,348.96	Facility	QX	$446.68	$758.58	$1,348.96
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $691.83 / $851.14 / $1,778.28	Facility	QZ	$691.83	$851.14	$1,778.28
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