Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $436.52 / $537.03 / $1,258.93	Facility	QK	$436.52	$537.03	$1,258.93
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $354.81 / $758.58 / $3,467.37	Facility	QX	$354.81	$758.58	$3,467.37
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	QZ	$1,288.25	$1,288.25	$1,288.25
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